Skip to main content
Top
Published in: European Spine Journal 6/2008

01-06-2008 | Original Article

Donor site morbidity following iliac crest bone harvesting for cervical fusion: a comparison between minimally invasive and open techniques

Authors: Raymond Pollock, Ilhan Alcelik, Chandra Bhatia, Graham Chuter, Kiran Lingutla, Chakravarty Budithi, Manoj Krishna

Published in: European Spine Journal | Issue 6/2008

Login to get access

Abstract

We have studied the occurrence of donor site morbidity, cosmesis and overall satisfaction with graft procedure in 76 patients who had undergone iliac crest bone harvesting for anterior cervical discectomy and fusion (ACDF). Totally 24 patients underwent an open procedure and 52 a minimally invasive trephine harvesting method. Although our study demonstrated substantial donor site pain and its effect on ambulation in both groups, this was of limited duration. Two patients, one in each group, suffered long-term pain that was eventually resolved. Totally 8.3% of patients in the open group suffered minor complications and 11.5% in the trephine group. There were two cases of meralgia parasthetica. There were no major complications in either group. There was no statistically significant difference in morbidity between the open and trephine groups. There was a trend towards significance (P = 0.076) for pain at the donor site, with less pain reported by patients who underwent the trephine procedure for harvesting.
Literature
1.
go back to reference Ahlmann A, Patzakis M, Roidis N et al (2002) Comparison of anterior and posterior iliac crest bone grafts in terms of harvest-site morbidity and functional outcomes. J Bone Joint Surg Am 84-A:716–720PubMed Ahlmann A, Patzakis M, Roidis N et al (2002) Comparison of anterior and posterior iliac crest bone grafts in terms of harvest-site morbidity and functional outcomes. J Bone Joint Surg Am 84-A:716–720PubMed
2.
go back to reference Arington ED, Smith WJ, Chambers HG et al (1996) Complications of iliac crest bone graft harvesting. Clin Orthop 329:300–309CrossRef Arington ED, Smith WJ, Chambers HG et al (1996) Complications of iliac crest bone graft harvesting. Clin Orthop 329:300–309CrossRef
3.
go back to reference Billmire DA, Rotatori S (1994) Use of the CORB needle biopsy for the harvesting of iliac crest bone graft. Plast Reconstr Surg 93:416–418PubMedCrossRef Billmire DA, Rotatori S (1994) Use of the CORB needle biopsy for the harvesting of iliac crest bone graft. Plast Reconstr Surg 93:416–418PubMedCrossRef
4.
go back to reference Boustred AM, Fernandes D, Zyl AE (1997) Minimally invasive iliac cancellous bone graft harvesting. Plast Reconstr Surg 99:1760–1764PubMedCrossRef Boustred AM, Fernandes D, Zyl AE (1997) Minimally invasive iliac cancellous bone graft harvesting. Plast Reconstr Surg 99:1760–1764PubMedCrossRef
5.
go back to reference Burstein FD, Simms C, Cohen SR et al (2000) Iliac crest bone graft harvesting techniques: a comparison. Plast Reconstr Surg 105:34–39PubMedCrossRef Burstein FD, Simms C, Cohen SR et al (2000) Iliac crest bone graft harvesting techniques: a comparison. Plast Reconstr Surg 105:34–39PubMedCrossRef
6.
go back to reference Caddy CM, Reid CD (1985) An atraumatic technique for harvesting cancellous bone for secondary alveolar bone grafting in cleft palate. Br J Plast Surg 38:540–543PubMedCrossRef Caddy CM, Reid CD (1985) An atraumatic technique for harvesting cancellous bone for secondary alveolar bone grafting in cleft palate. Br J Plast Surg 38:540–543PubMedCrossRef
8.
go back to reference Dawson KH, Egbert MA, Myall RWT (1996) Pain following iliac crest bone grafting of alveolar clefts. J Craniomaxillofac Surg 24:151–154PubMed Dawson KH, Egbert MA, Myall RWT (1996) Pain following iliac crest bone grafting of alveolar clefts. J Craniomaxillofac Surg 24:151–154PubMed
9.
go back to reference Eufinger H, Leppanen H (2000) Iliac crest donor site morbidity following open and closed methods of bone harvest for alveolar cleft osteoplasty. J Craniomaxillofac Surg 28:31–38PubMed Eufinger H, Leppanen H (2000) Iliac crest donor site morbidity following open and closed methods of bone harvest for alveolar cleft osteoplasty. J Craniomaxillofac Surg 28:31–38PubMed
10.
go back to reference Gagliese L, Melzak R (2006) Pain in the elderly, chap. 74 In: McMahon SB, Koltzenberg M (eds) Ward and Melzack’s textbook of pain, 5th edition. Churchill Livingstone, Edinburgh Gagliese L, Melzak R (2006) Pain in the elderly, chap. 74 In: McMahon SB, Koltzenberg M (eds) Ward and Melzack’s textbook of pain, 5th edition. Churchill Livingstone, Edinburgh
11.
go back to reference Ghent WR (1961) Further studies on meralgia paresthetica. Can Med Assoc J 85:871–875PubMed Ghent WR (1961) Further studies on meralgia paresthetica. Can Med Assoc J 85:871–875PubMed
12.
go back to reference Goulet JA, Senunas LE, DeSilva GL et al (1997) Autogenous iliac crest bone graft: complications and functional assessment. Clin Orthop 339:76–81PubMedCrossRef Goulet JA, Senunas LE, DeSilva GL et al (1997) Autogenous iliac crest bone graft: complications and functional assessment. Clin Orthop 339:76–81PubMedCrossRef
13.
go back to reference Heary RF, Schlenk RP, Sacchieri TA et al (2002) Persistent iliac crest donor site pain: independent outcome assessment. Neurosurgery 50:510–516PubMedCrossRef Heary RF, Schlenk RP, Sacchieri TA et al (2002) Persistent iliac crest donor site pain: independent outcome assessment. Neurosurgery 50:510–516PubMedCrossRef
14.
go back to reference Hill NM, Horne JG, Devane PA (1999) Donor site morbidity in the iliac crest bone graft. Aust NZJ Surg 69:726–728CrossRef Hill NM, Horne JG, Devane PA (1999) Donor site morbidity in the iliac crest bone graft. Aust NZJ Surg 69:726–728CrossRef
15.
go back to reference Ilankovan V, Telfer M, Peterson LJ et al (1998) A prospective study of trephined bone grafts of the tibial shaft and iliac crest. Br J Oral Maxillofac Surg 36:434–439PubMedCrossRef Ilankovan V, Telfer M, Peterson LJ et al (1998) A prospective study of trephined bone grafts of the tibial shaft and iliac crest. Br J Oral Maxillofac Surg 36:434–439PubMedCrossRef
16.
go back to reference Joshi A, Kostakis GC (2004) An investigation of post-operative morbidity following iliac crest graft harvesting. Br Dent J 196:167–171PubMedCrossRef Joshi A, Kostakis GC (2004) An investigation of post-operative morbidity following iliac crest graft harvesting. Br Dent J 196:167–171PubMedCrossRef
17.
go back to reference Kager AN, Marks M, Bastrom T et al (2006) Morbidity of iliac crest bone harvesting in adolescent deformity surgery. J Pediatr Orthop 26:132–134PubMedCrossRef Kager AN, Marks M, Bastrom T et al (2006) Morbidity of iliac crest bone harvesting in adolescent deformity surgery. J Pediatr Orthop 26:132–134PubMedCrossRef
18.
go back to reference Kessler P, Thorwarth M, Block-Birkholz et al (2005) Harvesting of bone from the iliac crest—comparison of the anterior and posterior sites. Br J Oral Maxillofac Surg 43:51–56PubMedCrossRef Kessler P, Thorwarth M, Block-Birkholz et al (2005) Harvesting of bone from the iliac crest—comparison of the anterior and posterior sites. Br J Oral Maxillofac Surg 43:51–56PubMedCrossRef
19.
go back to reference Mostofsky DI, Lomrants Y (eds) (1997) Handbook of pain and ageing. Plenum Press, New York Mostofsky DI, Lomrants Y (eds) (1997) Handbook of pain and ageing. Plenum Press, New York
20.
go back to reference Nkenke E, Weisbach V, Winckler E et al (2004) Morbidity of harvesting of bone grafts from the iliac crest for preprosthetic augmentation procedures: a prospective study. Int J Oral Maxillofac Surg 33:157–163PubMedCrossRef Nkenke E, Weisbach V, Winckler E et al (2004) Morbidity of harvesting of bone grafts from the iliac crest for preprosthetic augmentation procedures: a prospective study. Int J Oral Maxillofac Surg 33:157–163PubMedCrossRef
21.
go back to reference Prochet F, Bertrand J (1996) Unusual complications at iliac crest bone graft donor site: experience with two cases. Neurosurgery 39:856–859CrossRef Prochet F, Bertrand J (1996) Unusual complications at iliac crest bone graft donor site: experience with two cases. Neurosurgery 39:856–859CrossRef
22.
go back to reference Robertson PA, Wray AC (2001) Natural history of posterior iliac crest bone graft donation for spinal surgery. Spine 26:1473–1476PubMedCrossRef Robertson PA, Wray AC (2001) Natural history of posterior iliac crest bone graft donation for spinal surgery. Spine 26:1473–1476PubMedCrossRef
23.
go back to reference Sandor GKB, Rittenberg BN, Clokie CML et al (2003) Clinical success in harvesting autogenous bone using a minimally invasive trephine. J Oral Maxillofac Surg 61:164–168PubMedCrossRef Sandor GKB, Rittenberg BN, Clokie CML et al (2003) Clinical success in harvesting autogenous bone using a minimally invasive trephine. J Oral Maxillofac Surg 61:164–168PubMedCrossRef
24.
go back to reference Sasso RC, Lehuec JC, Shaffrey C et al (2005) Iliac crest bone graft donor site pain after anterior lumbar interbody fusion. J Spinal Disord Tech 18:77–81CrossRef Sasso RC, Lehuec JC, Shaffrey C et al (2005) Iliac crest bone graft donor site pain after anterior lumbar interbody fusion. J Spinal Disord Tech 18:77–81CrossRef
25.
go back to reference Schnee CL, Freese A, Weil RJ et al (1997) Analysis of harvest morbidity and radiographic outcome using autograft for anterior cervical fusion. Spine 22:2222–2227PubMedCrossRef Schnee CL, Freese A, Weil RJ et al (1997) Analysis of harvest morbidity and radiographic outcome using autograft for anterior cervical fusion. Spine 22:2222–2227PubMedCrossRef
26.
go back to reference Shamsaldin M, Mouchaty H, Desogus N et al (2006) Evaluation of donor site pain after anterior iliac crest harvesting for cervical fusion: a prospective study on 50 patients. Acta Neurochir 138:1071–1074CrossRef Shamsaldin M, Mouchaty H, Desogus N et al (2006) Evaluation of donor site pain after anterior iliac crest harvesting for cervical fusion: a prospective study on 50 patients. Acta Neurochir 138:1071–1074CrossRef
27.
go back to reference Silber JS, Anderson DG, Daffner SD et al (2003) Donor site morbidity after anterior iliac crest bone harvest for single-level anterior cervical discectomy and fusion. Spine 28:134–139PubMedCrossRef Silber JS, Anderson DG, Daffner SD et al (2003) Donor site morbidity after anterior iliac crest bone harvest for single-level anterior cervical discectomy and fusion. Spine 28:134–139PubMedCrossRef
28.
go back to reference Skaggs DL, Samuelson MA, Hale JM et al (2000) Complications of posterior iliac crest bone grafting in spine surgery in children. Spine 25:2400–2402PubMedCrossRef Skaggs DL, Samuelson MA, Hale JM et al (2000) Complications of posterior iliac crest bone grafting in spine surgery in children. Spine 25:2400–2402PubMedCrossRef
29.
go back to reference Summers BN, Eisenstein SM (1989) Donor site pain from the ilium. J Bone Joint Surg Br 71-A:677–680 Summers BN, Eisenstein SM (1989) Donor site pain from the ilium. J Bone Joint Surg Br 71-A:677–680
30.
go back to reference Swan MC, Goodacre TEE (2006) Morbidity at the iliac crest donor site following bone grafting of the cleft alveolus. Br J Oral Maxillofac Surg 44:129–33PubMedCrossRef Swan MC, Goodacre TEE (2006) Morbidity at the iliac crest donor site following bone grafting of the cleft alveolus. Br J Oral Maxillofac Surg 44:129–33PubMedCrossRef
31.
go back to reference Westrich GH, Geller DS O’Malley MJ et al (2001) Anterior iliac crest bone graft harvesting using the corticancellous reamer system. J Orthop Trauma 15:500–506PubMedCrossRef Westrich GH, Geller DS O’Malley MJ et al (2001) Anterior iliac crest bone graft harvesting using the corticancellous reamer system. J Orthop Trauma 15:500–506PubMedCrossRef
Metadata
Title
Donor site morbidity following iliac crest bone harvesting for cervical fusion: a comparison between minimally invasive and open techniques
Authors
Raymond Pollock
Ilhan Alcelik
Chandra Bhatia
Graham Chuter
Kiran Lingutla
Chakravarty Budithi
Manoj Krishna
Publication date
01-06-2008
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue 6/2008
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-008-0648-3

Other articles of this Issue 6/2008

European Spine Journal 6/2008 Go to the issue

Reply to the Letter to the Editor

Conflict of Interest? What conflict of interest?