Abstract
bone grafting; complications; iliac crest; pain.
Highlights
We describe the improvement over the conventional technique of harvesting Iliac crest bone graft (ICBG) among patients undergoing ACDF/ACCF
We have evaluated 15 males and eight females who underwent surgery through the mentioned modified technique
The complications associated ranges from simple bone pain to “landslide” hernia especially when full thickness grafts are taken
Summary
Autogenous grafts are safe and still standard globally as they have all three properties of bone graft, osteogenetic, osteoconductive and osteoinductive together with structural support.1,2 Iliac crest bone graft (ICBG) is the ideal source of autogenous bone graft.3 The tricortical graft as well as cancellous only grafts can be harvested from the iliac crest.4,5 Anterior ICBG is taken in anterior procedures like anterior cervical discectomy and fusion (ACDF) and anterior cervical corpectomy and fusion (ACCF); posterior ICBG is taken for posterior spinal fusion surgeries.6-8 We describe the improvement over the conventional technique of harvesting ICBG among patients undergoing ACDF/ACCF.MODIFICATION OF SURGICAL TECHNIQUE. When cancellous bone graft with one cortex is desired, thicker cortical bone of the superior cortex with its soft tissue attachment is raised without stripping the iliacus from the inner table.
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