Superior Gluteal Artery Laceration, A Complication of Iliac Bone Graft Surgery

Kahn, Bernard S.

doi:10.1097/00003086-197905000-00038

Cited by 9 publications

(7 citation statements)

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“…Therefore, injury to the superior gluteal artery is the most common vascular injury associated with posterior iliac crest bone graft harvesting. The superior gluteal artery can be injured at the sciatic notch by either a dislodged retractor, as in our case, or an osteotome [3,[5][6][7]. The risk of superior gluteal artery injury is reported to be higher when the bone graft is procured through the same incision in which the spine surgery is performed through a separate incision [1].…”

Section: Discussionmentioning

confidence: 72%

“…Had we attempted to directly ligate the fistula via an open surgical approach, it would most likely have resulted in additional massive bleeding, as described in previous reports [5,6]. Arterial embolization is a useful therapeutic modality to manage uncontrollable, massive bleeding due to vascular injuries [7][8][9].…”

Section: Discussionmentioning

confidence: 93%

“…To prevent iatrogenic superior gluteal artery injury during posterior iliac crest bone graft harvesting, it is important for surgeons to be familiar with the anatomy of the posterior iliac crest region and the concept of the ''safe zone'' as suggested by Kahn (Fig. 3) [6,13].…”

Section: Discussionmentioning

confidence: 99%

“…To date, few cases of vascular injuries involving the superior gluteal artery have been reported during posterior iliac crest bone graft harvesting [3,[5][6][7]. The prompt diagnosis and treatment of a superior gluteal artery injury is difficult, but critical for the prevention of morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

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Arteriovenous fistula of the superior gluteal artery as a complication of posterior iliac crest bone graft harvesting: 3D-CT angiography and arterial embolization

et al. 2009

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Arteriovenous fistula of the superior gluteal artery as a complication of posterior iliac crest bone graft harvesting: 3D-CT angiography and arterial embolization

et al. 2009

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“…The possibilities of meeting the needs of size, shape, and quantity of bone for any given procedure, however, are limited in autografting. The potential for morbidity by harvesting autologous iliac bone graft is ever present [52], and can be caused by nerve injuries [4, 7, 8, 9], vascular injuries [14,27], hernia through the iliac bone donor site [17,29], bowel obstructions [6], and other noteworthy drawbacks. Operating room time is extended, as is the period under which the patient must remain under anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Plaster of Paris as bone substitute in spinal surgery

Hadjipavlou¹,

Simmons

Tzermiadianos

et al. 2001

European Spine Journal

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In order to assess the effectiveness of calcium sulphate (plaster of Paris; POP) as a substitute for autologous bone graft, we performed lumbar intervertebral fusion in mature sheep using POP and a variety of other graft materials, and reviewed the literature. The osteoconductivity of the POP grafts was compared to that of grafts carried out with autogenous iliac crest, frozen allogeneic bone, and ProOsteon 500 coralline bone. We also compared the osteogenicity of POP to admixtures of autogenous iliac crest bone with POP and coralline bone, and to an osteoinductive demineralized sheep bone preparation (DBM). The substrates were loaded into tubular titanium mesh, implanted into excavated disc spaces and recovered after a period of 4 months. Fusion mass segments tested in flexion and tension showed that POP was equal to autogenous bone and most other substrates. The POP fusions were significantly tougher than the DBM fusions, even though histomorphometry failed to reveal differences in the amount of trabecular bone. We conclude that POP can be used to achieve a biomechanically stable interbody lumbar vertebral fusion. In addition, our literature review indicated that POP can be used as a vehicle for local delivery of antibiotics in bone infections.

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Sciatic nerve palsy caused by haematoma from iliac bone graft donor site

Stevens

Banuls

1994

Eur Spine J

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A 27-year-old woman developed a haematoma-related compressive neuropathy of the right sciatic nerve following the harvesting of a bone graft from the posterior aspect of the right iliac crest. The nerve was compressed in an enclosed compartment between the sciatic notch and the piriformis muscle, which is thought to be involved in the piriformis syndrome. The symptoms improved once the haematoma was evacuated, and this complication stresses the importance of adequate haemostasis of the area from which the bone graft is taken.

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Superior Gluteal Artery Laceration, A Complication of Iliac Bone Graft Surgery

Cited by 9 publications

References 0 publications

Arteriovenous fistula of the superior gluteal artery as a complication of posterior iliac crest bone graft harvesting: 3D-CT angiography and arterial embolization

Arteriovenous fistula of the superior gluteal artery as a complication of posterior iliac crest bone graft harvesting: 3D-CT angiography and arterial embolization

Plaster of Paris as bone substitute in spinal surgery

Sciatic nerve palsy caused by haematoma from iliac bone graft donor site

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