Polylactic acid mesh reconstruction of the anterior iliac crest after bone harvesting reduces early XXXX after anterior cervical fusion surgery.

@entity1 @entity2080 @entity3946 @entity7049 @entity425 @entity158 @entity4720 @entity282
OBJECTIVE: Autologous iliac crest bone enhances the rate of spinal arthrodesis. However, graft site complications are common, with donor site pain being particularly troublesome. Reconstruction of the @entity3946 with an absorbable @entity7049 mesh to restore the bony cortical contour has been proposed to reduce @entity158 . METHODS: Thirty-nine consecutive @entity1 treated by a single senior surgeon (BAG) during a 14-month period were studied. All @entity1 had @entity4720 treated through an anterior approach supplemented with an autologous hip graft. @entity1 with preexisting @entity158 were excluded. @entity158 was rated on a scale of 1 to 10 at 1 week and 3 months after surgery via a questionnaire. @entity282 medication regimens were standardized. RESULTS: Thirty @entity1 were available for follow-up, 15 with mesh implantation and 15 without. @entity158 in the mesh-treated group averaged 4.7 and 1.6 at 1 week and 3 months, respectively. @entity158 in the standard-treatment group averaged 6.9 and 2.5 at 1 week and 3 months, respectively. These differences were statistically significant (P = 0.004 at 1 wk and 0.055 at 3 mo). Hospital length of stay was shorter in the mesh-treated group (2.1 versus 3.2 d, respectively), but this difference was not statistically significant. Two @entity1 without mesh treatment complained of the cosmetic defect resulting from absent bone, and three had temporary difficulty with hip eversion or flexion. Two @entity1 in the mesh-treated group developed @entity2080 , which were treated conservatively. CONCLUSION: Reconstruction of the iliac crest reduces early @entity282 . Other potential benefits may include shorter hospitalizations and a reduced incidence of @entity425 ; however, careful attention to wound closure is necessary to prevent @entity2080 formation.
