The Experts below are selected from a list of 324 Experts worldwide ranked by ideXlab platform
Nancy E Mckinley - One of the best experts on this subject based on the ideXlab platform.
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Iliac Crest versus spinous process grafts in posttraumatic spinal fusions
Spine, 1992Co-Authors: James S Keene, Nancy E MckinleyAbstract:Results of posttraumatic spine fusions in 34 patients who had autogenous Iliac Crest grafts were compared with those of 70 patients who hade autogenous spinous process grafts. The two groups of patients were otherwise homogenous, and fusion occurred in 32 (94%) of the Iliac Crest graft patients and 70 (100%) spinous process graft patients
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Iliac Crest versus spinous process grafts in posttraumatic spinal fusions.
Spine, 1992Co-Authors: James S Keene, Nancy E MckinleyAbstract:: Results of posttraumatic spine fusions in 34 patients who had autogenous Iliac Crest grafts were compared with those of 70 patients who had autogenous spinous process grafts. The two groups of patients were otherwise homogenous, and fusion occurred in 32 (94%) of the Iliac Crest graft patients and 70 (100%) spinous process graft patients. However, average operative time (225 vs. 200 minutes) and operative blood loss (1371 vs. 1136 cc) were significantly higher in Iliac Crest graft patients (P less than 0.05), and five Iliac Crest graft patients had significant donor site complications. Use of spinous process grafts eliminated donor site problems, reduced operative time and blood loss, and produced a rate of arthrodesis equal to that of Iliac Crest grafts.
James S Keene - One of the best experts on this subject based on the ideXlab platform.
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Iliac Crest versus spinous process grafts in posttraumatic spinal fusions
Spine, 1992Co-Authors: James S Keene, Nancy E MckinleyAbstract:Results of posttraumatic spine fusions in 34 patients who had autogenous Iliac Crest grafts were compared with those of 70 patients who hade autogenous spinous process grafts. The two groups of patients were otherwise homogenous, and fusion occurred in 32 (94%) of the Iliac Crest graft patients and 70 (100%) spinous process graft patients
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Iliac Crest versus spinous process grafts in posttraumatic spinal fusions.
Spine, 1992Co-Authors: James S Keene, Nancy E MckinleyAbstract:: Results of posttraumatic spine fusions in 34 patients who had autogenous Iliac Crest grafts were compared with those of 70 patients who had autogenous spinous process grafts. The two groups of patients were otherwise homogenous, and fusion occurred in 32 (94%) of the Iliac Crest graft patients and 70 (100%) spinous process graft patients. However, average operative time (225 vs. 200 minutes) and operative blood loss (1371 vs. 1136 cc) were significantly higher in Iliac Crest graft patients (P less than 0.05), and five Iliac Crest graft patients had significant donor site complications. Use of spinous process grafts eliminated donor site problems, reduced operative time and blood loss, and produced a rate of arthrodesis equal to that of Iliac Crest grafts.
Vernon T Tolo - One of the best experts on this subject based on the ideXlab platform.
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complications of posterior Iliac Crest bone grafting in spine surgery in children
Spine, 2000Co-Authors: David L Skaggs, Michael A Samuelson, Julie M Hale, Vernon T ToloAbstract:STUDY DESIGN: The perioperative and postoperative complications associated with harvesting posterior Iliac Crest bone graft in children were reviewed. A retrospective study was performed and a questionnaire interview conducted. OBJECTIVES: To determine the morbidity associated with posterior Iliac Crest bone graft in children. SUMMARY OF BACKGROUND DATA: Iliac Crest bone is commonly used as a source of bone graft in spine surgery. Although there are multiple reports of complications in adults, there are no reports in children. METHODS: A retrospective chart review was performed of 214 consecutive children who underwent spinal fusion with posterior Iliac Crest bone graft from 1990 through 1996. An interview was conducted of 87 patients with normal mental status, predominantly those with idiopathic scoliosis with a minimum of 2 years' follow-up (mean, 55 months). RESULTS: The review showed one (0.5%) instance of arterial injury in the sciatic notch. Two (1%) patients had infections, both of which resolved with a single irrigation and debridement. There was one documented instance of sacroIliac penetration that did not cause clinical problems. The chart review showed three (1.4%) instances of continued pain and one (0.5%) of numbness. By contrast to the few reports of pain in the chart review, responses to an interview of 87 patients showed 21 (24%) children reporting pain at the Iliac Crest site, with 13 (15%) reporting problems with daily activities. The self-reported pain, on a scale of 1 to 10, ranged from 1 to 10 with a mean of 4. Nonsteroidal anti-inflammatory drugs (NSAIDS) were taken by eight (9%) children for pain at the bone graft site. Five (6%) reported skin irritation, and 18 (20%) mentioned numbness surrounding the scar. CONCLUSION: The perioperative rate of complications in Iliac Crest bone grafting in children is low (2%). The complication of pain (24%) and pain that is severe enough to interfere with daily activity (15%) is significant at a mean follow-up of more than 4 years. The true extent of pain and numbness after posterior Iliac Crest bone grafting in children was severely underreported in the medical records and may be underrecognized.
Peter V. Giannoudis - One of the best experts on this subject based on the ideXlab platform.
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reconstruction of Iliac Crest with bovine cancellous allograft after bone graft harvest for symphysis pubis arthrodesis
International Orthopaedics, 2012Co-Authors: Konstantinos G Makridis, Nikolaos K. Kanakaris, M A Ahmad, Evangelos M Fragkakis, Peter V. GiannoudisAbstract:Purpose The aim of this study was to evaluate the safety and efficiency, as well as the incorporation characteristics of a specific type of xenograft used for Iliac Crest defects post-harvesting tri-cortical Iliac Crest bone graft.
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Anterior Iliac Crest Bone Graft Harvesting
Practical Procedures in Orthopedic Surgery, 2011Co-Authors: Peter V. Giannoudis, Efthimios J. Karadimas, Nikolaos K. KanakarisAbstract:Autologous bone is the “gold standard” bone graft material, as it provides the full spectrum of osteogenic, osteoconductive, and osteoinductive properties. The posterior Iliac Crest represents another harvesting site of autologous bone graft, providing a larger volume of cancellous and corticocanellous bone compared to the anterior Iliac Crest and is extensively used in posterior spinal fusion procedures.
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Percutaneous Bone Marrow Aspirate Harvesting from the Anterior Iliac Crest
Practical Procedures in Orthopedic Surgery, 2011Co-Authors: Rozalia Dimitriou, Nikolaos K. Kanakaris, Peter V. GiannoudisAbstract:Bone marrow aspirate from the Iliac Crest contains mesenchymal stem cells (MSCs) and growth factors that can be used to stimulate bone regeneration. The marrow has been estimated to contain 1/50,000 nucleated stem cells in younger adults and 1/1,000,000 in the elderly. Both anterior and posterior Iliac Crests can be used for bone marrow aspiration. In this chapter, we will describe the aspiration technique from the anterior Iliac Crest.
Gazanfar Rahmathulla - One of the best experts on this subject based on the ideXlab platform.
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a retrospective study of Iliac Crest bone grafting techniques with allograft reconstruction do patients even know which Iliac Crest was harvested clinical article
Journal of Neurosurgery, 2014Co-Authors: Stephen M Pirris, Eric W Nottmeier, Sherri Kimes, Michael Obrien, Gazanfar RahmathullaAbstract:Object Considerable biological research has been performed to aid bone healing in conjunction with lumbar fusion surgery. Iliac Crest autograft is often considered the gold standard because it has the vital properties of being osteoconductive, osteoinductive, and osteogenic. However, graft site pain has been widely reported as the most common donor site morbidity. Autograft site pain has led many companies to develop an abundance of bone graft extenders, which have limited proof of efficacy. During the surgical consent process, many patients ask surgeons to avoid harvesting autograft because of the reported pain complications. The authors sought to study postoperative graft site pain by simply asking patients whether they knew which Iliac Crest was grafted when a single skin incision was made for the fusion operation. Methods Twenty-five patients underwent Iliac Crest autografting with allograft reconstruction during instrumented lumbar fusion surgery. In all patients the autograft was harvested through t...
