The Iliolumbar Artery as the Nutrient Pedicle for an Iliac Crest Graft

Winters, H.A.H.; Harten, S.M. van; Royen, Barend J. van

doi:10.1097/00006534-200201000-00039

Cited by 25 publications

(14 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The ILA is described as originating from the IIA main trunk (Winters et al, 2002) or from its posterior division (Yoon et al, 2004;Elliot and Smit, 2006). It runs obliquely upward, deep to the external iliac vessels between the obturator nerve and the lumbosacral plexus, and then crosses deep to the psoas major muscle.…”

Section: Introductionmentioning

confidence: 99%

“…It runs obliquely upward, deep to the external iliac vessels between the obturator nerve and the lumbosacral plexus, and then crosses deep to the psoas major muscle. In the majority of cases, when reaching the lateral border of the muscle, the ILA runs between the iliac fascia and the iliacus muscle toward the iliac crest supplying both muscle and bone (Winters et al, 2002). As Harrington considered, the ILA is the only large caliber vessel in the posterolateral region of the L5 disc space (Harrington, 2001).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The iliolumbar artery—Anatomic considerations and details on the common iliac artery trifurcation

et al. 2009

View full text Add to dashboard Cite

The iliolumbar artery (ILA) of Haller is the largest nutrient pedicle of the ilium and its detailed knowledge is important for various surgical procedures that approach the lumbosacral junction, the L4/L5 disk space, the sacroiliac joint, the iliac and psoas muscles, or the lumbar spine. Also the ILA is relevant for various techniques of embolization. We aimed to evaluate the anatomic and topographic features of the ILA, by dissection on 30 human adult pelvic halves and on 50 angiograms. ILA was a constant presence and it emerged at Level A (from the common iliac artery (CIA), 8.75%), Level B (from the CIA bifurcation, 2.5%), Level C (from the internal iliac artery (IIA), 52.5%), Level D (from the IIA bifurcation, 3.75%), and Level E (from the posterior trunk of the IIA, 32.5%). Level B of origin of the ILA corresponds to a trifurcated CIA (morphology previously unreported), while Level D corresponds to a trifurcated IIA. A higher origin of the ILA corresponds to a more transversal course of it. A descending lumbar branch that leaves the iliac arterial system independently to enter the psoas major muscle, as seen in 48% of cases, may be misdiagnosed as ILA. Surgical interventions in the lumbar, sacral, and pelvic regions must take into account the variable origins of the ILA from the iliac system that can modify the expected topographical relations and may lead to undesired hemorrhagic accidents.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The iliolumbar artery—Anatomic considerations and details on the common iliac artery trifurcation

et al. 2009

View full text Add to dashboard Cite

show abstract

“…13,14 Most importantly, the utilization of vascularized bone generally results in accelerated graft consolidation with increased rates of fusion. [15][16][17][18][19][20] Conversely, nonvascularized grafts need to be replaced by creeping substitution. This phenomenon is of particular importance in the spine secondary to the fact that during the resorption phase there is a significant loss in the structural integrity of the graft, with the risk of mechanical failure, nonunion, 5 the risk of subsequent instrumentation failure, worsening deformity, and adverse clinical outcome.…”

Section: Discussionmentioning

confidence: 99%

The Results of Vascularized-free Fibular Grafts in Complex Spinal Reconstruction

Ackerman

Rose

Moran

et al. 2011

Journal of Spinal Disorders &Amp; Techniques

View full text Add to dashboard Cite

show abstract

“…Subsequently it reaches the medial edge of psoas major, branches off lumbar, and iliac arteries behind this muscle, and joins the arterial supply of iliac bone, iliopsoas, quadratus lumborum, and cauda equina. [34] Iliolumbar arterial injuries can be seen during anterior and anterolateral surgical procedures. [35]…”

Section: Discussionmentioning

confidence: 99%

Secondary alveolar bone grafting in cleft of the lip and palate patients

Walia

2011

Contemp Clin Dent

View full text Add to dashboard Cite

Aim:The aim was to restore the function and form of both arches with a proper occlusal relationship and eruption of tooth in the cleft area.Materials and Methods:Eleven patients were selected irrespective of sex and socio-economic status and whose age was within the mixed dentition period. Iliac crest is grafted in cleft area and subsequently evaluated for graft success using study models, and periapical and occlusal radiographs.Results:At the time of evaluation teeth were erupted in the area and good alveolar bone levels were present. Premaxilla becomes immobile with a good arch form and arch continuity. There are no major complications in terms of pain, infection, paraesthesia, hematoma formation at donor site without difficulty in walking. There is no complication in terms of pain, infection, exposure of graft, rejection of graft, and wound dehiscence at the recipient site.Discussion:It is evident that secondary alveolar grafting during the mixed dentition period is more beneficial for patients at the donor site as well as the recipient site.Conclusion:Long-term follow-up is required to achieve maximum advantage of secondary alveolar grafting; the age of the patient should be within the mixed dentition period, irrespective of sex, socio-economic status. It may be unilateral or bilateral.

show abstract

The Iliolumbar Artery as the Nutrient Pedicle for an Iliac Crest Graft

Cited by 25 publications

References 7 publications

The iliolumbar artery—Anatomic considerations and details on the common iliac artery trifurcation

The iliolumbar artery—Anatomic considerations and details on the common iliac artery trifurcation

The Results of Vascularized-free Fibular Grafts in Complex Spinal Reconstruction

Secondary alveolar bone grafting in cleft of the lip and palate patients

Contact Info

Product

Resources

About