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Reply With QuoteIf I was having a fusion, I would definitely use an allograft or BMP instead of autograft (self). I've spoken with many Spine Patients that have ongoing pain using autograft. Just my 2 cents...
This is a discussion on Iliac crest donor site morbidity within the Spinal Fusion (Including Discectomy & Laminectomy Procedures) forums, part of the Spine Surgery Support category; Iliac Crest Bone Graft Donor Site Pain After Anterior Lumbar... : Journal of Spinal Disorders & Techniques Anyone know much ...
Iliac crest donor site morbidity Iliac Crest Bone Graft Donor Site Pain After Anterior Lumbar... : Journal of Spinal Disorders & Techniques
Anyone know much about it? The surgeon I'm seeing favours autograft due to it's higher fusion rate, but donor site morbidity is a concern. They don't take great chunks like they used to, they scrape some out, but it seems it can cause long term complications.
Anyone have any experience with this?
Re: Iliac crest donor site morbidity If I was having a fusion, I would definitely use an allograft or BMP instead of autograft (self). I've spoken with many Spine Patients that have ongoing pain using autograft. Just my 2 cents...
Justin Averna
Founder & President, Spine Patient Society™
www.SpinePatientSociety.org
A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization
I'm here to help.
- 1994: Football Injury, Severe Hyperextension
- 1997: Snow Skiing Injury
- 3/7/1997: Laminotomy L4/L5
- 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
- 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
- 4/2008: 4.5 years pain-free before "new" leg pain
- 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
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justin (at) spinepatientsociety.org
Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.
Re: Iliac crest donor site morbidity Same here, Justin. I was happy that my surgeon used, as he put it, mashed up bits of bone spurs, etc. that he removed, mixed along with BMP for my two level fusions. So far it looks great, and I don't have to deal with extra pain in my hip.
A local surgeon said that he used bovine bone for fusions. No thanks....
Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things. Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!
Re: Iliac crest donor site morbidity Hooch,
I don't know which is best, but for both cervical fusions my surgeon took a piece of my iliac crest. I had no complications and no pain from the donor site either time.
Good luck, Jeff
C4/5 fusion, January 2000
C5/6 fusion, February 2002
C3/4 & C6/7 - M6 ADR, Nov 2009, Barcelona
Conceded defeat to a manifestly disingenuous BCBS-TX in my quest for reimbursement, Jan 2011
Re: Iliac crest donor site morbidity I personally would never use autograft. With my spine surgery luck, never. I had BMP used for my Lumbar fusion and at least I don't have any issues with remedial pain nor non-fusion there. I'll take it.
• January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
• June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
• April 2006 right hip, labral tear and repair
• April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
• July 2, 2008 ALIF & Laminectomy @ L6/S1
• July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
• August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
• March 10, 2009 Right SI Joint Fusion
• April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
• September 30, 2010 lumbar facet rhizotomy
• December 9, 2010 12 bilateral lumbar trigger point and steroid injections
• December 23, 2010 12 more bilateral trigger point injections w/o steroid
• February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
July 18, 2011
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