title: Donor site morbidity following iliac crest bone harvesting for cervical fusion: a comparison between minimally invasive and open techniques.
abstract: We have studied the occurrence of donor site morbidity, cosmesis and overall satisfaction with graft procedure in 76 patients who had undergone iliac crest bone harvesting for anterior cervical discectomy and fusion (ACDF). Totally 24 patients underwent an open procedure and 52 a minimally invasive trephine harvesting method. Although our study demonstrated substantial donor site pain and its effect on ambulation in both groups, this was of limited duration. Two patients, one in each group, suffered long-term pain that was eventually resolved. Totally 8.3% of patients in the open group suffered minor complications and 11.5% in the trephine group. There were two cases of meralgia parasthetica. There were no major complications in either group. There was no statistically significant difference in morbidity between the open and trephine groups. There was a trend towards significance (P = 0.076) for pain at the donor site, with less pain reported by patients who underwent the trephine procedure for harvesting.
authors.affiliation: Spinal Unit, University Hospital of North Tees, Stockton on Tees, TS19 8PE, UK.
authors.forename: Raymond
authors.initials: R
authors.lastname: Pollock
authors.forename: Ilhan
authors.initials: I
authors.lastname: Alcelik
authors.forename: Chandra
authors.initials: C
authors.lastname: Bhatia
authors.forename: Graham
authors.initials: G
authors.lastname: Chuter
authors.forename: Kiran
authors.initials: K
authors.lastname: Lingutla
authors.forename: Chakravarty
authors.initials: C
authors.lastname: Budithi
authors.forename: Manoj
authors.initials: M
authors.lastname: Krishna
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D017586:Diskectomy / Q000379:methods*; D005260:Female; D006801:Humans; D007085:Ilium / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D019637:Orthopedic Procedures / Q000009:adverse effects / Q000379:methods*; D010146:Pain / Q000209:etiology; D017060:Patient Satisfaction; D012189:Retrospective Studies; D013123:Spinal Fusion / Q000379:methods*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014207:Trephining / Q000009:adverse effects / Q000379:methods