Zijderveld Steven A, ten Bruggenkate Christiaan M, van Den Bergh Johan P A, Schulten Egbert A J M
Department of Oral and Maxillofacial Surgery, Vrije Universiteit Medical Center, Academic Dentistry, Amsterdam.
J Oral Maxillofac Surg. 2004 Jul;62(7):781-6. doi: 10.1016/j.joms.2003.12.018.
In this study fractures of the iliac crest after split-thickness bone grafting in a patient population treated for preprosthetic reasons were evaluated.
In a retrospective patient population of 146 patients, during a 5-year period (1998 to 2002), 3 avulsion fractures of the iliac crest were noticed. All fractures were postsurgical, occurring as late fractures. A review of the literature regarding etiology, clinical characteristics, and results of treatment is given.
In all 3 cases treatment was conservative, consisting of a period of bed rest followed by progressive ambulation. Further recovery was uneventful.
According to this patient population and the literature, late fracture of the iliac crest after split-thickness bone grafting is an uncommon complication. We recommend a harvesting and grafting technique at an appropriate distance from the iliac spine with an oscillating saw. Treatment of an iliac crest fracture is almost always conservative.
本研究评估了因修复前原因接受治疗的患者群体在取分层皮片骨移植后髂嵴骨折的情况。
在1998年至2002年的5年期间，对146例患者的回顾性研究中，发现了3例髂嵴撕脱骨折。所有骨折均为术后发生，属于迟发性骨折。本文对有关病因、临床特征及治疗结果的文献进行了综述。
所有3例病例均采用保守治疗，包括一段时间的卧床休息，随后逐步进行活动。进一步的恢复过程顺利。
根据该患者群体及文献，分层皮片骨移植后髂嵴迟发性骨折是一种罕见的并发症。我们建议使用摆动锯在距髂棘适当距离处进行采集和移植技术。髂嵴骨折的治疗几乎总是保守的。
