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Thread: Bone graft

  1. #1
    Join Date
    Jun 2006
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    Dallas/FtWorth Texas area
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    70

    Bone graft

    For those who have already been through the surgery where do they get the bone graft material? Dr. Shelokov's PA told me that they do not use cadaver bone because your own bone fuses quicker. I forgot to ask him tho where he gets it from. And does that require a different surgery (incision) and is it as painful? He told me they would go thru the abdomen, under my right rib and my back. Just wondering if any of those incisions allow for access to graft material.

    Linda G.

  2. #2
    Join Date
    Jun 2005
    Location
    Maryland
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    They usually get it from the back of your pelvis. Sometimes, if you are having a thoracoplasty, they take it from a rib. I'm sure if you ask your surgeon, he will tell you exactly what he plans to do in your case.
    Brandi
    Congenital Scoliosis, 58* lumbar curve
    Combined Anterior/Posterior Spinal Fusion w/Laminectomy May 22, 2006
    L1-S1
    Dr. William Lauerman
    Georgetown University Hospital, Washington, DC
    Pedicle Subtraction Osteotomy @ L3, Posterior Spinal Fusion L2-L4, rod removal with re-instrumentation T10-S1 and Laminectomy February 5, 2009 to correct flatback
    http://brandi816.wordpress.com/

  3. #3
    Join Date
    Apr 2006
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    Houston area
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    129
    Linda,
    I am having surgery with Dr. Shelokov in October. I was told they would use all bone from cadaver on me because my surgery is already going to be 12-14 hours and it will save time. That bothers me because I read that your own bone is more likely to fuse better. I wish they were using at least part from me.

  4. #4
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    Jun 2006
    Location
    Dallas/FtWorth Texas area
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    Marcia

    When I saw Eric last month he told me that they were no longer using cadaver so .you might ask him again. He told me they would use my bone along with a compound that grows bone. I just didn't think as to where and how that surgery would be. He didn't tell me the length of time it might take --just that it would be about 1 1/2 hours on my stomach and same on my side but didn't mention the back. Another thing I forgot to ask. I should be getting a call within the next couple of weeks about the mylogram as all my other tests now are done.

    Linda G.

  5. #5
    Join Date
    Apr 2005
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    913
    Mine was taken from my hip(actually iliac crest to be precise)-wich is usually the best place but I had a non union. So I suggest walking a lot and eating well afterwards, it helps the fusion process. I did both but didn't move enough b/c I wasn't given pain meds for more than a month, and so I was in a lot of pain. I know there are no studies that can say what exactly causes non unions for sure but I would say it doesn't hurt to know what could help.
    Last edited by sweetness514; 07-29-2006 at 03:09 PM.
    35 y/old female from Montreal, Canada
    Diagnosed with scoliosis(double major) at age 12, wore Boston brace 4 years at least 23 hours a day-curve progressed
    Surgery age 26 for 60 degree curve in Oct. 1997 by Dr.Max Aebi-fused T5 to L2
    Surgery age 28 for a hook removal in Feb. 1999 by Dr.Max Aebi-pain free for 5 years
    Surgery age 34 in Dec.2005 for broken rod replacement, bigger screws and crosslinks added and pseudarthrosis(non union) by Dr. Jean Ouellet

  6. #6
    Join Date
    May 2006
    Location
    Bucks County, Pa
    Posts
    274
    My surgeries are scheduled 9/6 and 9/8. My surgeon said he will be using bone from my hip.

  7. #7
    Join Date
    Sep 2003
    Location
    Northern California
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    7,011
    Hi...

    Bone graft material is not really taken from the hip. It's taken from the iliac crest, which as bbest noted, is the top of the back part of the pelvis. If an anterior approach is used, or if a thoracoplasty is performed, they can also get bone from the ribs that are cut.

    --Linda

  8. #8
    Join Date
    Jul 2005
    Location
    California
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    Graft for my first surgery was used from my thorocoplasty (ribs) and for my second surgery they used donor bone. I had a different surgeon than you all. I would ask the surgeon where he specifically is planning on taking it from.
    Mandy

  9. #9
    Join Date
    Apr 2006
    Location
    Houston area
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    129
    I'm going to ask again. But they told me that because my surgery goes down into the sacrum and I am assuming because I have some osteoporosis, plus the length of my surgery they can't compromise my hip area by using my own bone. I'll ask again, but they seemed pretty clear on that when they were telling me about my surgery.

  10. #10
    Join Date
    May 2004
    Location
    Houston, Texas now live in Colorado Springs, CO
    Posts
    544
    Marcia & Linda G,

    My fusion goes to the sacrum and they used bone from the illiac crest and also from the rib they removed. The incision to get the bone from the illiac crest was about 4 inches to the right of the spine and the upper right buttock. I haven't had any problems from that incision.
    Theresa

    April 8 & 12, 2004 - Anterior/Posterior surgery 15 hours & 7 hours
    Thorasic - 79 degree down to 22
    Lumbar - 44 degree down to 18
    Fused T2 to sacrum
    June 2, 2005 - Pedicle subtraction osteotomy @L3 7 hours
    MAY 21, 2007 - Pedicle subtraction osteotomy @ L2, extended the fusion to S2 and added pelvic instrumentation 9 hours

    FUSED T2 - SACRUM 2

  11. #11
    Join Date
    May 2005
    Location
    Wheeling, WV
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    1,105
    Hi Linda G.,

    For me, it was a combination of rib, hip and cadaver bone. It is amazing how different each one of our situations are. Through my ant. surgery they removed 5 discs and a rib as orignally planned, but I woke up with an additional incision at the top of my pelvis. They told me they needed some more bone.

    Shari

  12. #12
    Join Date
    Jun 2005
    Location
    Maryland
    Posts
    408
    I am also fused to my sacrum. My surgeon used a combination of iliac crest bone and cadaver bone. Each case is truly different.
    Brandi
    Congenital Scoliosis, 58* lumbar curve
    Combined Anterior/Posterior Spinal Fusion w/Laminectomy May 22, 2006
    L1-S1
    Dr. William Lauerman
    Georgetown University Hospital, Washington, DC
    Pedicle Subtraction Osteotomy @ L3, Posterior Spinal Fusion L2-L4, rod removal with re-instrumentation T10-S1 and Laminectomy February 5, 2009 to correct flatback
    http://brandi816.wordpress.com/

  13. #13
    Join Date
    May 2005
    Posts
    672
    My son's surgeon used bone from his vertebrae. He was fused to L-4 and I think the bone was taken from the larger vertebrae. The scar is a little larger/thicker in that area but there was no additional incision and it didn't seem to add to the pain of the surgery itself.

    Renee

  14. #14
    Join Date
    Oct 2004
    Posts
    459
    My surgeon used a rib and took bone from my hip for my graft.

  15. #15
    Join Date
    Sep 2003
    Location
    Northern California
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    7,011
    Quote Originally Posted by flowerpower
    My son's surgeon used bone from his vertebrae. He was fused to L-4 and I think the bone was taken from the larger vertebrae. The scar is a little larger/thicker in that area but there was no additional incision and it didn't seem to add to the pain of the surgery itself.

    Renee
    Hi Renee...

    Some surgeons remove the spinous processes and use them for fusion. I don't think there is enough bone to facilitate fusion, however, so I'm thinking that he got bone from elsewhere, or used some donor bone.

    --Linda

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