Open Access, Peer-reviewed
pISSN 2093-4378
eISSN 2093-4386
    J Korean Soc Spine Surg. 2001 Sep;8(3):292-297. Korean.
    Published online Sep 30, 2001.
    https://doi.org/10.4184/jkss.2001.8.3.292
    Copyright © 2001 Korean Society of Spine Surgery
    Review

    Techniques and Complications of Bone Graft Harvesting

    Sang-Min Lee, M.D.
      • Seoul Spine Institute, College of Medicine, Inje University, Sanggye Paik Hospital, Seoul, Korea.
    • Address reprint requests to Sang-Min Lee, M.D. Seoul Spine Institute, College of Medicine, Inje University, Sanggye Paik Hospital, #761-1 Sanggye-7dong, Nowon-gu, Seoul 139-707, Korea. Tel: 82-2-950-1284, Fax: 82-2-3392-1101, Email: snoopy5@unitel.co.kr

    Abstract

    Autogenous bone grafts are frequently harvested for the purposes of bone union and stability. Ilium is the most common site for bone-graft harvesting. Although some donor site complications may be unavoidable, awareness of the anatomy and complications may aid in planning the approach and minimizing the risks. A tricortical graft from the anterior ilium should be taken at least 2 cm posterior to the anterior superior iliac spine(ASIS). Iliac donor-site complications include pain, neurovascular injury, avulsion fractures of the ASIS, hematoma, infection, herniation of abdominal contents, gait disturbance, cosmetic deformity, violation of the sacroiliac joint, and ureteral injury. The neurovascular structures at risk for injury during iliac bone-graft harvesting include the lateral femoral cutaneous, iliohypogastric, and ilioinguinal nerves anteriorly and the superior cluneal nerves and superior gluteal neurovascular bundle posteriorly. Violation of the sacroiliac joint can be avoided by not penetrating the inner cortex. The caudal limit for bone harvesting should be the inferior margin of the roughened area anterior to the PSIS on the outer table to keep from injuring the superior gluteal artery. Strict observation of relevant anatomic considerations will help in avoiding these complications.

    Keywords
    Autogenous bone graft; Bone graft harvesting; Complications

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    MeSH Terms
    Arteries
    Congenital Abnormalities
    Gait
    Hematoma
    Humans
    Ilium
    Sacroiliac Joint
    Tissue Donors
    Transplants*
    Ureter
    Metrics
    Share
    Figures
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