Donor site morbidity as a problem of spinal surgery: systematic review
Iliac crest bone autograft is most commonly used grafting material in spinal surgery. Despite the high efficiency of bone autograft in spinal fusion, its application is associated with a number of negative points including so called donor site mor- bidity, i.e. complications of bone graft harvest...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2016-06-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/241/1238 |
| Summary: | Iliac crest bone autograft is most commonly used grafting material in spinal surgery. Despite the high efficiency of bone
autograft in spinal fusion, its application is associated with a number of negative points including so called donor site mor-
bidity, i.e. complications of bone graft harvesting. Major complications are associated with harvesting technique. The most
significant minor complication is chronic postoperative pain which incidence is 28–31 %. Chronic donor site pain may be
caused by muscle mobilization, external cortex destruction in the iliac wing, and nerve damage. The treatment of chronic
donor site pain is still exclusively symptomatic. Main factors influencing the rate of iliac crest bone harvesting complica-
tions and preventive techniques are reviewed. |
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| ISSN: | 1810-8997 2313-1497 |