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Surgical and Radiologic Anatomy

Published in:

01-12-2016 | Original Article

Anatomic feasibility of a new endopelvic approach for iliac crest bone harvesting

Authors: S. Le Pape, L. Du Pouget, T. Cloche, M. Campana, I. Obeid, L. Boissiere, J.-M. Vital

Published in: Surgical and Radiologic Anatomy | Issue 10/2016

Abstract

Purpose

For the past few years, anterior exposure for surgery of the lumbar spine has gained popularity for the treatment of disk disease or spondylosis. Cancellous bone remains the gold standard for fusion. Iliac crest bone harvesting is safe but there are donor site complications. Bone substitutes exist, like recombinant human bone morphogenic protein-2 rhBMP-2. This alternative offers a high rate of fusion but with local and general complications. The aim of our study is to show the feasibility of an endopelvic approach for iliac bone crest harvesting to avoid donor site complication.

Method

Twenty anterior retroperitoneal lumbar spine approaches have been realized in the anatomy department of the University of Bordeaux. The volumes of cancellous bone have been measured and procedure complications have been reported.

Results

The mean volume of cancellous bone was 5.9 cc, the maximum volume was 8.2 cc and the minimum volume was 4.5 cc. No complications have been reported during the approach or the bone harvesting.

Conclusions

Anterior retroperitoneal approach for iliac bone crest harvesting is a safe way to obtain sufficient volume of cancellous bone for a single lumbar spinal fusion. This exposure avoids the risks of an iliac crest donor site complications or rhBMP-2 complications.

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Title: Anatomic feasibility of a new endopelvic approach for iliac crest bone harvesting
Authors: S. Le Pape
L. Du Pouget
T. Cloche
M. Campana
I. Obeid
L. Boissiere
J.-M. Vital
Publication date: 01-12-2016
Publisher: Springer Paris
Published in: Surgical and Radiologic Anatomy / Issue 10/2016
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-016-1686-x

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Anatomic feasibility of a new endopelvic approach for iliac crest bone harvesting

Abstract

Purpose

Method

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Method

Results

Conclusions

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