Donor site morbidity after bone harvesting from the anterior iliac crest

TitleDonor site morbidity after bone harvesting from the anterior iliac crest
Publication TypeJournal Article
Year of Publication2010
AuthorsSchaaf H, Lendeckel S, Howaldt HP, Streckbein P
JournalOral Surg Oral Med Oral Pathol Oral Radiol Endod
Pagination52 - 8
Date PublishedJan
ISSN1528-395X (Electronic) 1079-2104 (Linking)
Accession Number20123379
KeywordsAdolescent, Adult, Aged, Aged, 80 and over, Alveolar Bone Loss / surgery, Bone Transplantation / *adverse effects, Cicatrix / etiology / pathology, Confidence Intervals, Female, Humans, Ilium / *surgery, Jaw Diseases / *surgery, Male, Middle Aged, Movement Disorders / etiology, Odontogenic Cysts / surgery, Osteotomy / adverse effects / instrumentation / methods, Pain, Postoperative / etiology, Questionnaires, Retrospective Studies, Somatosensory Disorders / etiology, Tissue and Organ Harvesting / *adverse effects / instrumentation / *methods, Young Adult

OBJECTIVES: Autologous bone grafting is a common, standard procedure in maxillofacial surgery. We investigated complications of harvesting bone from the anterior iliac crest. STUDY DESIGN: A retrospective analysis with a 2-year observational period included 75 patients who had undergone iliac bone grafting. Two techniques were examined: the closed osteotomy using a cylinder osteotome (Shepard) and an open procedure with a saw. RESULTS: One major complication, a fracture of the anterior superior iliac spine, was observed (0.7%). Regarding long-term morbidity, 3 patients (4%) suffered from persistent pain and 2 (2.7%) from persistent sensory disturbance. A correlation by gender showed greater severity of pain directly after graft harvesting in women (P(Wilcoxon)

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