Department of Orthopaedics and Trauma Surgery, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2022 Mar 11;60(247):325-328. doi: 10.31729/jnma.7086.
Bone graft harvesting is one of the common procedures in orthopaedics surgery, and iliac crest is the gold standard donor site for autologous bone graft. There are a number of complications related with harvesting iliac crest bone graft, "donor site pain" is the commonest one. We modified the conventional surgical technique for autogenous iliac crest bone graft on patients who underwent anterior cervical decompression/corpectomy and fusion surgeries. Among 23 patients, 18 didn't complain more pain at the donor site compared to the neck pain on the first postoperative day and the wound on the iliac crest did not affect their mobilisation. Mean Visual Analog Score was 2.62±1.80, 1.83±1.41, and 1.10±1.20 at the time of suture removal (14 days), at six weeks and three months respectively. At one year of follow-up, no patient complained of donor site pain. Our surgical modification has encouraging results and thus can be advocated for bone graft.
bone grafting; complications; iliac crest; pain.
骨移植采集是骨科手术中的常见程序，髂嵴是自体骨移植的金标准供体部位。采集髂嵴骨移植物有许多相关并发症，“供体部位疼痛”是最常见的并发症。我们对接受前路颈椎减压/切除融合术的患者进行了自体髂嵴骨移植的常规手术技术改良。在 23 例患者中，18 例患者在术后第 1 天，供体部位的疼痛与颈部疼痛相比没有增加，且髂嵴上的伤口不影响其活动能力。在缝线拆除时（14 天）、术后 6 周和 3 个月时，平均视觉模拟评分分别为 2.62±1.80、1.83±1.41 和 1.10±1.20。在 1 年的随访中，没有患者抱怨供体部位疼痛。我们的手术改良取得了令人鼓舞的结果，因此可以提倡进行骨移植。
骨移植；并发症；髂嵴；疼痛。
