Local Administration of Morphine for Analgesia After Autogenous Anterior or Posterior Iliac Crest Bone Graft Harvest for Spinal Fusion: A Prospective, Randomized, Double-Blind, Placebo-Controlled Study

2010 ◽  
Vol 110 (3) ◽  
pp. 928-933 ◽  
Author(s):  
Eugene K. Wai ◽  
Seyon Sathiaseelan ◽  
Joseph OʼNeil ◽  
Brian L. Simchison
Keyword(s):  
Bone Graft ◽  
Spinal Fusion ◽  
Iliac Crest ◽  
Controlled Study ◽  
Local Administration ◽  
Iliac Crest Bone Graft ◽  
Double Blind ◽  
Double Blind Placebo ◽  
Posterior Iliac Crest ◽  
Graft Harvest

Vascularized Bone Grafts for Spinal Fusion—Part 1: The Iliac Crest

2021 ◽  
Author(s):  
Edward M Reece ◽  
Matthew J Davis ◽  
Ryan D Wagner ◽  
Amjed Abu-Ghname ◽  
Alex Cruz ◽  
...  
Keyword(s):  
Bone Graft ◽  
Spinal Fusion ◽  
Iliac Crest ◽  
Lumbar Fusion ◽  
Bone Grafts ◽  
Iliac Crest Bone Graft ◽  
Posterior Iliac Crest ◽  
Patient Morbidity ◽  
Increased Risk ◽  
Long Term Follow Up

Abstract BACKGROUND Iliac crest autograft has been the gold standard for harvest of fusion materials in spine surgery. The benefits of a vascularized version of this bone graft—including delivery of stem cells, ability to deliver antibiotics to the fusion bed, and relative ease of harvest—make this technique superior to free bone transfer in the achievement of augmented spinal fusion. OBJECTIVE To present a brief summary of similar existing concepts before describing the novel technique of this vascularized posterior iliac crest bone graft. METHODS Vascularized posterior iliac crest bone graft can be harvested from the same midline lumbar incision used for thoracolumbar spinal fusion, through lateral dissection around the paraspinals to the iliac crest. Recipient sites in the posterolateral bony spinal gutters may be as rostral as T12 and caudal as the sacrum. The ability to cover multiple lumbar levels can be achieved with desired lengths of the donor iliac crest. RESULTS Over 14 vascularized iliac crest bone grafts have been performed to augment lumbar fusion for salvage after pseudoarthrosis. Operative time and bleeding are reduced compared to free flap procedures, and no patients have experienced any complications related to these grafts. Indocyanine green (ICG) angiography has been utilized in a novel way to ensure the vascularity of the bone graft prior to arthrodesis. CONCLUSION While long-term follow-up will be required to fully characterize fusion rates and patient morbidity, this innovative surgical option augments spinal fusion in patients with, or at increased risk for, pseudoarthrosis.

Results of an Alternative Autogenous Iliac Crest Bone Graft Harvest Method

Orthopedics ◽  
2006 ◽  
Vol 29 (4) ◽  
pp. 342-346 ◽  
Author(s):  
Stephen C. Brawley ◽  
R. Bruce Simpson
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Iliac Crest Bone Graft ◽  
Graft Harvest ◽  
Harvest Method
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