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Research ArticleBiologics

Harvest of Iliac Crest Autograft Not Associated With Localized Pain

JOSEPH E. SNAVELY, RONALD W. MERCER and GEOFFREY STEWART
International Journal of Spine Surgery June 2019, 13 (3) 275-282; DOI: https://doi.org/10.14444/6037
JOSEPH E. SNAVELY
1Orlando Regional Medical Center, Orlando Health, Orlando, Florida
MD
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RONALD W. MERCER
2Beth Israel Deaconess Medical Center, Harvard University, Boston, Massachusetts
MD
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GEOFFREY STEWART
3The Spine and Scoliosis Center, Orlando, Florida
MD
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    Figure 1

    Visual analog scale completed by patients at the time of clinical visits. Patients ranked pain on a scale from 0 to 10.

  • Figure 2
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    Figure 2

    Harvesting of autogenous iliac crest bone graft via a midline skin incision with an epifascial dissection to the posterior superior iliac spine and then subperiosteal exposure of the prominence.

  • Figure 3
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    Figure 3

    Iliac crest bone marrow aspiration is performed after an epifascial plane is created, prior to harvesting of autograft.

  • Figure 4
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    Figure 4

    The posterior superior iliac prominence is resected with an osteotomy. Care is taken to avoid penetration of the cortex or sacroiliac joint.

  • Figure 5
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    Figure 5

    Cancellous iliac crest autograft is removed from between the tables with Capener gouges and will be combined with bone marrow aspirate and allograft and placed in the spinal fusion bed.

  • Figure 6
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    Figure 6

    Illustration demonstrating resection of the posterior superior iliac prominence with an osteotome.

  • Figure 7
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    Figure 7

    Illustration demonstrating cancellous iliac crest autograft removal with Capener gouge after osteotomy of posterior superior iliac prominence.

  • Figure 8
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    Figure 8

    Comparison of patient pain scores at each time point assessing the percentage of patients experiencing more pain on the graft side, more pain on the contralateral side, and equal pain on both sides.

  • Figure 9
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    Figure 9

    Comparison of patient pain scores on graft side of pelvis and contralateral side at each time point.

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International Journal of Spine Surgery
Vol. 13, Issue 3
1 Jun 2019
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Harvest of Iliac Crest Autograft Not Associated With Localized Pain
JOSEPH E. SNAVELY, RONALD W. MERCER, GEOFFREY STEWART
International Journal of Spine Surgery Jun 2019, 13 (3) 275-282; DOI: 10.14444/6037

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Harvest of Iliac Crest Autograft Not Associated With Localized Pain
JOSEPH E. SNAVELY, RONALD W. MERCER, GEOFFREY STEWART
International Journal of Spine Surgery Jun 2019, 13 (3) 275-282; DOI: 10.14444/6037
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Keywords

  • iliac
  • crest
  • bone
  • graft
  • harvest
  • postoperative
  • morbidity
  • pain
  • donor
  • side
  • lumbar
  • arthrodesis
  • fusion
  • ICBG

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