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首页> 外文期刊>Spine >The incidence of donor site pain after bone graft harvesting from the posterior iliac crest may be overestimated: a study on spine fracture patients.
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The incidence of donor site pain after bone graft harvesting from the posterior iliac crest may be overestimated: a study on spine fracture patients.

机译:可能会高估了后后骨移植后供体部位疼痛的发生率:一项针对脊柱骨折患者的研究。

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摘要

STUDY DESIGN: A retrospective cohort study on patients with traumatic vertebral fractures who underwent fusion with iliac crest bone. OBJECTIVE: To evaluate the influence of low back surgery on donor site attributed pain, we compared donor site pain between patients who underwent high and low level fusions. SUMMARY OF BACKGROUND DATA: The most common complication of posterior iliac crest bone graft harvesting is postoperative pain at the donor site. The incidence of donor site pain after bone graft harvesting from the posterior iliac crest is mainly reported from studies in patients who underwent low lumbar or lumbosacral surgery. The close proximity of the primary surgery to the iliac crest could interfere with the reported incidence of donor site pain. METHODS: Questionnaires regarding the iliac crest morbidity were sent to patients who underwent instrumented posterolateral fusion after traumatic spinal fractures. The incidence of donor site attributed pain was compared between patients whose fusion was between T2 and L2, with patients whose fusion extended to L3 or more caudally. RESULTS: In patients with a fusion of high levels, the donor site pain was significantly lower compared with patients with fusion of low levels (14.3% vs. 40.9%). CONCLUSION: Patients probably cannot differentiate between donor site pain and residual low back pain. The reported incidence of pain related to posterior iliac crest bone graft harvesting may therefore be overestimated.
机译:研究设计:一项回顾性队列研究,研究了与trauma骨融合的创伤性椎体骨折患者。目的:为了评估腰背手术对供体部位归因疼痛的影响,我们比较了进行高水平和低水平融合的患者之间的供体部位疼痛。背景资料摘要:后bone骨移植的最常见并发症是供体部位的术后疼痛。主要从针对接受低腰或腰s部手术的患者的研究中报道了从后骨移植骨后获得供体部位疼痛的发生率。初次手术与rest最接近可能会干扰报道的供体部位疼痛的发生率。方法:将有关c骨发病率的问卷发送给创伤性脊柱骨折后行仪器后外侧融合术的患者。比较了融合在T2和L2之间的患者与融合延伸到L3或更多到尾端的患者的供体部位归因疼痛的发生率。结果:与低水平融合患者相比,高水平融合患者的供体部位疼痛显着降低(14.3%对40.9%)。结论:患者可能无法区分供体部位疼痛和残余下腰痛。因此,所报道的与骨后骨移植物收获相关的疼痛发生率可能被高估了。

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