Iliac Crest Bone Graft Harvesting: Prospective Study Of Various Techniques And Donor Site Morbidity

10.5580/27f6 ◽  
2011 ◽  
Vol 18 (1) ◽  
Keyword(s):  
Prospective Study ◽  
Bone Graft ◽  
Iliac Crest ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Iliac Crest Bone Graft ◽  
Bone Graft Harvesting

A Comparison of Shepard's Osteotome versus Trapdoor Flap Technique to Harvest Iliac Crest Bone for Secondary Alveolar Bone Grafting

2008 ◽  
Vol 45 (4) ◽  
pp. 347-352 ◽  
Author(s):  
J. Constantinides ◽  
P. Chhabra ◽  
P. J. Turner ◽  
B. Richard
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Alveolar Bone ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Iliac Crest Bone Graft ◽  
Open Technique ◽  
Flap Technique ◽  
Graft Harvest ◽  
Alveolar Bone Grafting

Objective: To compare the postoperative donor site morbidity and alveolar bone graft results following two different techniques for iliac crest bone graft harvest: a closed (Shepard's osteotome) and an open (trapdoor flap) technique. Design: A retrospective review of two cohorts of alveolar bone grafts performed from 1998 to 2004 in Birmingham Children's Hospital by two surgeons using different harvest techniques. Medical and nursing anesthetic notes and medication charts were reviewed. Alveolar bone graft results were assessed using preoperative and postoperative radiographic studies. Patients: A total of 137 patients underwent an operation. Of these, 109 patients were compatible with the inclusion criteria (data available, first operation, no multiple comorbidities). Sixty-four patients had iliac bone harvested using the open trapdoor technique, while 45 had the same procedure using the closed osteotomy technique. Results: Maximum bone graft volumes harvested were similar with both techniques. The mean length of hospital stay was 50.9 hours for the osteotome and 75.5 hours for the open technique group (p < .0001). The postoperative analgesia requirement was higher and the postoperative mobilization was delayed and more difficult for the open technique patients (p < .0005). Kindelan scores performed by two independent orthodontists were similar for both techniques. Conclusion: The findings demonstrate that harvesting bone from the iliac crest using an osteotome technique reduces time in hospital, analgesia requirements, and postoperative donor site morbidity with no detrimental outcome.

DONOR SITE MORBIDITY IN THE ILIAC CREST BONE GRAFT

1999 ◽  
Vol 69 (10) ◽  
pp. 726-728 ◽  
Author(s):  
Nicola M. Hill ◽  
J. Geoffrey Horne ◽  
Peter A. Devane
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Iliac Crest Bone Graft

Iliac Crest Bone Graft Harvest Donor Site Morbidity

Spine ◽  
1995 ◽  
Vol 20 (9) ◽  
pp. 1055-1060 ◽  
Author(s):  
J Christopher Banwart ◽  
Marc A. Asher ◽  
Ruth S. Hassanein
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Iliac Crest Bone Graft ◽  
Graft Harvest

Anterior Iliac Crest Bone Graft Harvesting Using the Corticocancellous Reamer System

2001 ◽  
Vol 15 (7) ◽  
pp. 500-506 ◽  
Author(s):  
Geoffrey H. Westrich ◽  
David S. Geller ◽  
Martin J. O'Malley ◽  
Jonathan T. Deland ◽  
David L. Helfet
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Iliac Crest Bone Graft ◽  
Bone Graft Harvesting

Patients Cannot Reliably Distinguish the Iliac Crest Bone Graft Donor Site From the Contralateral Side After Lumbar Spine Fusion

Spine ◽  
2019 ◽  
Vol 44 (8) ◽  
pp. 527-533 ◽  
Author(s):  
A. Mechteld Lehr ◽  
F. Cumhur Oner ◽  
Eric A. Hoebink ◽  
Diederik H.R. Kempen ◽  
Job L.C. van Susante ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Bone Graft ◽  
Iliac Crest ◽  
Donor Site ◽  
Contralateral Side ◽  
Spine Fusion ◽  
Iliac Crest Bone Graft ◽  
Lumbar Spine Fusion ◽  
Graft Donor

Vulnerability of the subcostal nerve to injury during bone graft harvesting from the iliac crest

2004 ◽  
Vol 1 (1) ◽  
pp. 87-89 ◽  
Author(s):  
Dean Chou ◽  
Phillip B. Storm ◽  
James N. Campbell
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Donor Site ◽  
Autologous Bone Graft ◽  
Content Type ◽  
Bone Harvesting ◽  
Cutaneous Branch ◽  
Bone Graft Harvesting ◽  
Autologous Bone ◽  
Fine Print

Object. Autologous bone graft harvesting from the iliac crest remains the gold standard for fusion surgery. One disadvantage of autologous bone harvesting is the patient's enduring postoperative pain at the donor site. Nerve injury is one of the postulated mechanisms that may account for this pain. The object of this study was to determine whether the lateral cutaneous branch of the subcostal nerve is vulnerable to injury in the process of obtaining grafts from the anterior iliac crest. Methods. Anatomical dissections were performed on 10 cadaveric specimens to ascertain the size of the T-12 subcostal nerve and its position in relation to the iliac crest. Conclusions. The lateral cutaneous branch of the subcostal nerve may lie as close as 6 cm from the anterior superior iliac spine. This nerve is very vulnerable to injury when harvesting bone from the anterior iliac crest. Knowledge of the anatomy may decrease the risk of injury to this nerve.

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