title: Does donor site reconstruction following anterior cervical surgery diminish postoperative pain?
abstract: Many attempts have been made at donor site reconstruction to reduce postoperative pain following anterior cervical surgery. This study is a comparative analysis of the outcome of 46 patients undergoing single-level anterior corpectomy and fusion using iliac crest autograft performed by one surgeon (N.E.E.). Twenty-three patients had no donor site reconstruction, whereas the more recent 23 patients had iliac crest reconstruction using a MacroPore sheet (MacroPore, Inc., San Diego, CA) and Inductive Conductive Matrix (ICM, Sofamor Danek, Memphis, TN). Bodily Pain, assessed on the Short Form-36, obtained up to 12 months postoperatively, failed to demonstrate better pain relief following donor site reconstruction. Multiplanar CT studies obtained 6 months postoperatively documented 100% donor site fusion for the 23 reconstructed patients. Although iliac crest reconstruction failed to reduce Bodily Pain, it did result in 100% fusion.
authors.affiliation: Department of Neurological Surgery, Albert Einstein College of Medicine, Bronx, New York, USA. DCH3@columbia.edu
authors.forename: Nancy E
authors.initials: NE
authors.lastname: Epstein
authors.forename: Renee
authors.initials: R
authors.lastname: Hollingsworth
mesh_terms: D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000009:adverse effects* / Q000000981:diagnostic imaging; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007085:Ilium / Q000637:transplantation; D007432:Intraoperative Period; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control*; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D013123:Spinal Fusion / Q000009:adverse effects* / Q000379:methods; D014182:Transplantation, Autologous; D016896:Treatment Outcome