Iliac crest reconstruction to reduce donor-site morbidity: technical note
Iliac crest reconstruction to reduce donor-site morbidity: technical note
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DOI：
10.1007/s00586-009-1108-4
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发表时间：
2009-08
影响因子：
2.8
通讯作者：
J. Dusseldorp;R. Mobbs
中科院分区：
文献类型：
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作者：
J. Dusseldorp;R. Mobbs
本研究的设计包括个案系列、技术笔记和文献回顾。髂骨自体骨移植仍然是脊柱融合的金标准基质。持续的供体部位疼痛是自体移植物移植后最常见的发病原因，发生在三分之一的患者中。文献中报道了许多降低供体部位发病率的技术，包括输注止痛剂和用陶瓷、同种异体移植物或骨形态发生蛋白重建髂骨。本文报道了一组接受脊柱融合手术的患者。所有患者均采用磷酸钙骨水泥进行髂骨重建，并收集持续供体部位疼痛的随访数据。12例患者行自体移植取骨并应用磷酸钙水泥重建髂棘。42%(5)患者在3个月后出现持续的供体部位疼痛。所有疼痛评分均小于或等于2分（平均1.25分）。总之，自体骨移植后使用磷酸钙水泥重建髂棘是一种相对简单的手术，但在我们的患者群体中未能降低供体部位发病率。
The design of the study includes case series, technical note and review of the literature. Autogenous bone graft (autograft) harvest from the iliac crest remains the gold standard substrate for spinal fusion. Persistent donor-site pain is the most common cause of morbidity after autograft harvest, occurring in one-third of patients. Numerous techniques for reducing donor-site morbidity have been reported in the literature, including infusion of analgesics and post-harvest reconstruction of the iliac crest with ceramics, allograft or bone morphogenic protein. A case series of patients undergoing spinal fusion surgery is reported. All patients were treated with iliac crest reconstruction using Calcium Phosphate Cement and follow-up data of persistent donor-site pain was collected. Twelve patients underwent autograft harvest with iliac spine reconstruction using Calcium Phosphate Cement. 42% (5) had persistent donor-site pain (after 3 months). All pain scores were less than or equal to 2 out of 10 (mean 1.25). In conclusion, iliac spine reconstruction using Calcium Phosphate Cement following autogenous bone graft harvest is a relatively simple procedure which failed to decrease the incidence of donor-site morbidity in our patient population.