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Hinged Roof Reconstruction of Anterior Iliac Crest after Harvesting Bicortical Strut Graft for Anterior Cervical Fusion

INTRODUCTION: The strut iliac bone graft has been widely used to achieve fusion in various anterior cervical spinal surgeries but some complications often remain, such as pain and gross deformity. Considering these, we designed a new technique to restore the iliac ridge, using the outmost part of th...

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Autores principales: Kim, Jung-Suk, Kim, Yong-Min, Yi, Seung-Rim, Kim, In Hee, Kang, Minwook, Kim, Do-Kyoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Spine Surgery and Related Research 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10083088/
https://www.ncbi.nlm.nih.gov/pubmed/37041878
http://dx.doi.org/10.22603/ssrr.2022-0132
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author Kim, Jung-Suk
Kim, Yong-Min
Yi, Seung-Rim
Kim, In Hee
Kang, Minwook
Kim, Do-Kyoon
author_facet Kim, Jung-Suk
Kim, Yong-Min
Yi, Seung-Rim
Kim, In Hee
Kang, Minwook
Kim, Do-Kyoon
author_sort Kim, Jung-Suk
collection PubMed
description INTRODUCTION: The strut iliac bone graft has been widely used to achieve fusion in various anterior cervical spinal surgeries but some complications often remain, such as pain and gross deformity. Considering these, we designed a new technique to restore the iliac ridge, using the outmost part of the iliac crest. We aim to assess the efficacy of our new restoration technique of the iliac ridge after harvesting strut bone graft for anterior cervical fusion. The clinical and radiological outcomes of our hinged roof method were evaluated. TECHNICAL NOTE: A retrospective review was conducted of 29 patients who underwent hinged roof reconstruction of the iliac ridge after harvesting a bicortical strut bone graft for anterior cervical fusion using a cervical plate system. The clinical outcome for pain and gross appearance and radiological results were evaluated. Three months after the surgery, pain at the donor site became minimal or absent in all cases. At 1 year follow-up, no patient had reported pain and palpable discomfort, such as step-off on the donor site. Final X-ray and follow-up computed tomography revealed a bony union of the reconstructed iliac ridge to both margins. CONCLUSIONS: By showing good clinical and radiological outcomes, the authors' hinged roof reconstruction of the iliac crest after harvesting strut bone graft seemed to be a simple and effective technique that can reduce complications, such as pain and deformity on the donor iliac crest.
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spelling pubmed-100830882023-04-10 Hinged Roof Reconstruction of Anterior Iliac Crest after Harvesting Bicortical Strut Graft for Anterior Cervical Fusion Kim, Jung-Suk Kim, Yong-Min Yi, Seung-Rim Kim, In Hee Kang, Minwook Kim, Do-Kyoon Spine Surg Relat Res Technical Note INTRODUCTION: The strut iliac bone graft has been widely used to achieve fusion in various anterior cervical spinal surgeries but some complications often remain, such as pain and gross deformity. Considering these, we designed a new technique to restore the iliac ridge, using the outmost part of the iliac crest. We aim to assess the efficacy of our new restoration technique of the iliac ridge after harvesting strut bone graft for anterior cervical fusion. The clinical and radiological outcomes of our hinged roof method were evaluated. TECHNICAL NOTE: A retrospective review was conducted of 29 patients who underwent hinged roof reconstruction of the iliac ridge after harvesting a bicortical strut bone graft for anterior cervical fusion using a cervical plate system. The clinical outcome for pain and gross appearance and radiological results were evaluated. Three months after the surgery, pain at the donor site became minimal or absent in all cases. At 1 year follow-up, no patient had reported pain and palpable discomfort, such as step-off on the donor site. Final X-ray and follow-up computed tomography revealed a bony union of the reconstructed iliac ridge to both margins. CONCLUSIONS: By showing good clinical and radiological outcomes, the authors' hinged roof reconstruction of the iliac crest after harvesting strut bone graft seemed to be a simple and effective technique that can reduce complications, such as pain and deformity on the donor iliac crest. The Japanese Society for Spine Surgery and Related Research 2023-01-12 /pmc/articles/PMC10083088/ /pubmed/37041878 http://dx.doi.org/10.22603/ssrr.2022-0132 Text en Copyright © 2023 The Japanese Society for Spine Surgery and Related Research https://creativecommons.org/licenses/by-nc-nd/4.0/Spine Surgery and Related Research is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Kim, Jung-Suk
Kim, Yong-Min
Yi, Seung-Rim
Kim, In Hee
Kang, Minwook
Kim, Do-Kyoon
Hinged Roof Reconstruction of Anterior Iliac Crest after Harvesting Bicortical Strut Graft for Anterior Cervical Fusion
title Hinged Roof Reconstruction of Anterior Iliac Crest after Harvesting Bicortical Strut Graft for Anterior Cervical Fusion
title_full Hinged Roof Reconstruction of Anterior Iliac Crest after Harvesting Bicortical Strut Graft for Anterior Cervical Fusion
title_fullStr Hinged Roof Reconstruction of Anterior Iliac Crest after Harvesting Bicortical Strut Graft for Anterior Cervical Fusion
title_full_unstemmed Hinged Roof Reconstruction of Anterior Iliac Crest after Harvesting Bicortical Strut Graft for Anterior Cervical Fusion
title_short Hinged Roof Reconstruction of Anterior Iliac Crest after Harvesting Bicortical Strut Graft for Anterior Cervical Fusion
title_sort hinged roof reconstruction of anterior iliac crest after harvesting bicortical strut graft for anterior cervical fusion
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10083088/
https://www.ncbi.nlm.nih.gov/pubmed/37041878
http://dx.doi.org/10.22603/ssrr.2022-0132
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