Complications of Iliac Crest Bone Graft Harvesting

Arrington, Edward D.; Smith, William J.; Chambers, Henry G.; Bucknell, Allan L.; Davino, Nelson A.

doi:10.1097/00003086-199608000-00037

Cited by 1,393 publications

(883 citation statements)

References 34 publications

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“…However, the morbidity of the iliac bone harvest can often tarnish these results. According to Arrington et al [3], on the average there are minor complications (superficial infections, hematoma, cosmetic problems, etc.) of the donor site in 10% of cases and major complications in 5.8% of cases, requiring therapeutic modifications, surgical revision, and prolongation of the duration of hospitalization.…”

Section: Discussionmentioning

confidence: 99%

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Radiolucent cage for cervical vertebral reconstruction: A prospective study of 17 cases with 2-year minimum follow-up

et al. 2004

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Section: Discussionmentioning

confidence: 99%

“…However, morbidity involving the site of graft harvest remains high and can compromise the often satisfactory clinical result of cervical nerve root and spinal cord decompression [3,22].…”

Section: Introductionmentioning

confidence: 99%

Radiolucent cage for cervical vertebral reconstruction: A prospective study of 17 cases with 2-year minimum follow-up

et al. 2004

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“…Autologous bone graft (ABG) is regarded as the gold standard among the many available alternatives of biologic augmentation with reported efficacy of 87% to 100% [3,4,34,41]. Nevertheless, it is also associated with limited availability, longer operative time, and donor site morbidity [2]. For these reasons, other methods of biologic enhancement are currently the center of attention and the subject of a substantial amount of biomedical research [21,30,44,46].…”

Section: Introductionmentioning

confidence: 99%

The Synergistic Effect of Autograft and BMP-7 in the Treatment of Atrophic Nonunions

Giannoudis

Kanakaris

Dimitriou

et al. 2009

Clin Orthop Relat Res

118

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Combining autologous bone graft and recombinant human bone morphogenetic protein-7 (BMP-7) to treat long-bone fracture aseptic atrophic nonunions theoretically could promote bone healing at higher rates than each of these grafting agents separately. We retrospectively reviewed prospectively collected data on patient general characteristics, clinical outcomes, and complications over 3 years to determine the healing rates and the incidence of complications and adverse events of this ''graft expansion rationale.'' There were 45 patients (32 male) with a median age of 43 years (range, 19-76 years). Minimum followup was 12 months (mean, 24.5 months; range, 12-65 months). There were seven humeral, 19 femoral, and 19 tibial nonunions. The median number of prior operations was two (range, 1-7). All fractures united. Clinical and radiographic union occurred within a median of 5 months (range, 3-14 months) and 6 months (range, 4-16 months), respectively. Thirty-nine (87%) patients returned to their preinjury occupation at a mean of 4.2 months (range, 3-6 months). The median visual analog scale pain score was 0.9 (range, 0-2.8; maximum 10), and the median functional score was 86 (range, 67-95; maximum 100) at the final followup. BMP-7 as a bone-stimulating agent combined with conventional autograft resulted in a nonunion healing rate of 100% in these 45 patients.

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“…Instead we describe the use of local bone supplemented with suboccipital bone if need. Not using hip graft may reduced the overall morbidity of the procedure by avoiding the 10-40% morbidity associated with iliac crest bone harvest [3,4,9,22,38].…”

Section: Discussionmentioning

confidence: 99%

Treatment of pediatric atlantoaxial instability with traditional and modified Goel–Harms fusion constructs

et al. 2009

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There are several treatment options for rigid fixation at C1-C2 including Brooks and Gallie type wired fusions and C1-2 transarticular screws. The use of a GoelHarms type fusion, a construct with C1 lateral mass screws and C2 pedicle screws, has not been extensively described in pediatric patients. Here, we describe its relatively safe and effective use for treating pediatric patients by retrospective chart review of patients treated by the senior author for atlantoaxial instability with a Goel-Harms-type constructs during a 3-year period (2005)(2006)(2007). Six patients were treated using Goel-Harms-type constructs. Five patients were treated utilizing a construct containing C1 lateral mass screws and C2 pedicle screws; one patient was treated using construct containing C1 lateral mass screws and C2 trans-laminar screws. The patients ranged in age from 7 to 17 years old (mean 12.7). All patients had findings of an os odontoideum on CT scans and three of the six patients had T2 hyperintensity on MRI. Three of the six patients presented with transient neurologic deficits: quadraplegia in two patients and paresthesias in two patients. In each patient C1 lateral mass and C2 screws were placed and the subluxation was reduced to attain an anatomical alignment. No bone grafts were harvested from the iliac crest or rib. Local morsalized bone and sub-occipital skull graft was used. All patients tolerated the procedure well and were discharged home on post-operative day 3-4. The patients wore a hard cervical collar and no halo-vests were needed. All patients had solid fusion constructs and normal alignment on post-operative imaging studies performed on average 14 months post-operatively (range: 7-29). The results demonstrated that Goel-Harms fusions are a relatively safe and effective method of treating pediatric patients with atlantoaxial instability and are not dependent on vertebral anatomy or an intact ring of C1. Follow-up visits and studies in this limited series of patients demonstrated solid fusion constructs and anatomical alignment in all patients treated.

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Complications of Iliac Crest Bone Graft Harvesting

Cited by 1,393 publications

References 34 publications

Radiolucent cage for cervical vertebral reconstruction: A prospective study of 17 cases with 2-year minimum follow-up

Radiolucent cage for cervical vertebral reconstruction: A prospective study of 17 cases with 2-year minimum follow-up

The Synergistic Effect of Autograft and BMP-7 in the Treatment of Atrophic Nonunions

Treatment of pediatric atlantoaxial instability with traditional and modified Goel–Harms fusion constructs

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