Reconstruction of anterior iliac crest bone graft donor sites: presentation of a surgical technique

Defino, Helton Luíz Aparecido; Rodriguez-Fuentes, Andres Edgar

doi:10.1007/s005860050211

Cited by 26 publications

(17 citation statements)

References 4 publications

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“…Postoperative discomfort due to the harvesting of corticocancellous bone grafts from the iliac crest is an increasingly important problem [2,4,6,16]. This fact and complication rates of up to 39% lead us to search for alternative ways to reconstruct the anterior column [2,26].…”

Section: Discussionmentioning

confidence: 99%

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Solvent-preserved, bovine cancellous bone blocks used for reconstruction of thoracolumbar fractures in minimally invasive spinal surgery?first clinical results

et al. 2004

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Section: Discussionmentioning

confidence: 99%

“…However, donor site morbidity such as pain and dysesthesia at the iliac crest are becoming more important problems [2,6].…”

Section: Introductionmentioning

confidence: 99%

Solvent-preserved, bovine cancellous bone blocks used for reconstruction of thoracolumbar fractures in minimally invasive spinal surgery?first clinical results

et al. 2004

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“…Defino et al 11 relatam uma técnica de reconstrução da crista com costela retirada do acesso anterior à coluna vertebral de 15 pacientes, com bom resultado clínico radiográfico e estético.…”

Section: Discussionunclassified

Avaliação da dor e morbidade local da retirada do enxerto ósseo da crista ilíaca para artrodese cervical anterior

et al. 2010

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OBJETIVO: avaliar as possíveis complicações associadas à retirada de enxerto da crista ilíaca anterior em cirurgia para artrodese cervical anterior, em especial a dor residual. MÉTODOS: foi realizado estudo retrospectivo com análise de prontuários e aplicação de questionário via telefone com 20 pacientes no período compreendido entre Agosto de 2008 e Novembro de 2009. Todos os pacientes foram submetidos à mesma técnica cirúrgica para extração do enxerto, sendo operados pela mesma equipe no Hospital de Clinicas da Unicamp (HC Unicamp). As variantes analisadas foram dor residual, taxa de infecção, lesão neurológica ou vascular e ocorrência de fratura da asa do ilíaco. Os dados foram colocados em uma tabela e as médias e porcentagens foram calculadas. RESULTADOS: dos 20 pacientes, 12 homens e 8 mulheres, com média de idade de 51,75 anos (29-74) e follow-up médio de 11,83 meses (2-29), não houve nenhuma lesão grave, como fratura, lesão arterial ou neurológica. Houve um caso de infecção superficial (5%) e 25% dos pacientes queixaram-se de desconforto leve e dificuldade para deambular não incapacitante. CONCLUSÃO: a retirada de enxerto da crista ilíaca anterior está associada a muitas complicações, sendo importante o conhecimento de outras opções de enxerto e exposição ao paciente das possíveis complicações. Por meio deste levantamento, não verificamos nenhuma complicação grave, e o percentual de pacientes com dor residual acompanha os achados na literatura, podendo ser diminuído com uma dissecção cuidadosa da crista ilíaca.

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“…All of the above graft materials have been used in order to minimize donor-site pain, to promote bone healing [10,11,16,17], and to improve cosmesis [7-9, 18, 19] and functional outcome [12,[20][21][22].…”

Section: Introductionmentioning

confidence: 99%

“…Different types of materials have been used, including degradable hydroxyapatite-bioactive glass composites, bioactive ceramic prosthesis and spacers, autogenous ribs, metallic plates and polyurethane bone graft substitutes [7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of iliac crest with bovine cancellous allograft after bone graft harvest for symphysis pubis arthrodesis

Makridis

Ahmad

Kanakaris

et al. 2012

International Orthopaedics (SICOT)

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Purpose The aim of this study was to evaluate the safety and efficiency, as well as the incorporation characteristics of a specific type of xenograft used for iliac crest defects postharvesting tri-cortical iliac crest bone graft. Methods Sixteen patients diagnosed with chronic anterior pelvic pain were operated for pubic symphysis fusion. The tri-cortical graft harvested from the iliac crest was inserted into the pubic symphysis and compressed with a reconstruction plate. The defect in the iliac crest was filled with a block of cancellous bovine substitute (Tutobone®). The length of iliac crest defect, time to fusion of pubic symphysis, time to incorporation of the graft and complications were recorded. The postoperative pain and patients' satisfaction were evaluated. Results The median age of patients was 36.5 years (range 27-75). Fusion was obtained in 15 patients (94 %). The median time to fusion was four months (range three to seven). The length of the iliac crest bone defect ranged from 40 to 70 mm. Integration of the bovine substitute was achieved in 15 patients (94 %) over a median period of three months (range two to six). The postoperative median pain score was 2 (range 1-5). Twelve patients (75 %) reported good satisfaction. No major complications or allergic reactions were observed. Conclusions The xenograft used in this study provided a safe and effective method of reconstruction of iliac crest donor site defects. It has satisfactory incorporation, high biocompatibility and no signs of inflammatory reactions. This new technique is simple and easily reproducible in routine clinical practice.

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Reconstruction of anterior iliac crest bone graft donor sites: presentation of a surgical technique

Cited by 26 publications

References 4 publications

Solvent-preserved, bovine cancellous bone blocks used for reconstruction of thoracolumbar fractures in minimally invasive spinal surgery?first clinical results

Solvent-preserved, bovine cancellous bone blocks used for reconstruction of thoracolumbar fractures in minimally invasive spinal surgery?first clinical results

Avaliação da dor e morbidade local da retirada do enxerto ósseo da crista ilíaca para artrodese cervical anterior

Reconstruction of iliac crest with bovine cancellous allograft after bone graft harvest for symphysis pubis arthrodesis

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