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Successful Treatment of Chronic Donor Site Pain.

Yanow JH, Lorenzo LD, Worosilo SC, Pappagallo M - Anesth Pain Med (2015)

Bottom Line: This is a case presentation of a 45-year-old male with chronic donor site pain following autologous iliac crest bone harvest successfully treated with superior cluneal nerve blockade.Donor site pain following autologous iliac crest bone harvest is a common surgical complication that is often resistant to conservative treatments such as physical therapy and oral medications.Blockade of the superior cluneal nerves is a safe and technically simple procedure that may result in long-term pain relief, obviating the need to consider more invasive options.

View Article: PubMed Central - PubMed

Affiliation: The New Jersey Pain Management Institute, Somerset, New Jersey, USA.

ABSTRACT

Introduction: This is a case presentation of a 45-year-old male with chronic donor site pain following autologous iliac crest bone harvest successfully treated with superior cluneal nerve blockade. Donor site pain following autologous bone harvest is a common postoperative complication of lumbar fusion procedures that can cause significant morbidity and diminish quality of life, even in the context of an otherwise successful surgery. Dysfunction of the superior cluneal nerves is an etiology of this chronic pain. The patient's medical history, attempted treatments, and literature were reviewed.

Case presentation: A 45-year-old male with a six year history of severe pain over the right iliac crest following an otherwise successful lumbar laminectomy and fusion underwent two sets of superior cluneal nerve blocks, with sustained relief of more than 80% at seven months follow up.

Conclusions: Donor site pain following autologous iliac crest bone harvest is a common surgical complication that is often resistant to conservative treatments such as physical therapy and oral medications. Blockade of the superior cluneal nerves is a safe and technically simple procedure that may result in long-term pain relief, obviating the need to consider more invasive options.

No MeSH data available.


Related in: MedlinePlus

Anatomy of Cluneal and Pelvic Nerves (12)
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fig21295: Anatomy of Cluneal and Pelvic Nerves (12)

Mentions: In patients undergoing iliac crest bone harvesting, however, superior cluneal nerve (Figure 2) mediated pain should be considered as one of the most likely etiologies of persistent donor site pain. Blockade of these nerves as they pass over the iliac crest is a technically simple and low-risk procedure that should be offered to patients with chronic donor site pain (6).


Successful Treatment of Chronic Donor Site Pain.

Yanow JH, Lorenzo LD, Worosilo SC, Pappagallo M - Anesth Pain Med (2015)

Anatomy of Cluneal and Pelvic Nerves (12)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4644311&req=5

fig21295: Anatomy of Cluneal and Pelvic Nerves (12)
Mentions: In patients undergoing iliac crest bone harvesting, however, superior cluneal nerve (Figure 2) mediated pain should be considered as one of the most likely etiologies of persistent donor site pain. Blockade of these nerves as they pass over the iliac crest is a technically simple and low-risk procedure that should be offered to patients with chronic donor site pain (6).

Bottom Line: This is a case presentation of a 45-year-old male with chronic donor site pain following autologous iliac crest bone harvest successfully treated with superior cluneal nerve blockade.Donor site pain following autologous iliac crest bone harvest is a common surgical complication that is often resistant to conservative treatments such as physical therapy and oral medications.Blockade of the superior cluneal nerves is a safe and technically simple procedure that may result in long-term pain relief, obviating the need to consider more invasive options.

View Article: PubMed Central - PubMed

Affiliation: The New Jersey Pain Management Institute, Somerset, New Jersey, USA.

ABSTRACT

Introduction: This is a case presentation of a 45-year-old male with chronic donor site pain following autologous iliac crest bone harvest successfully treated with superior cluneal nerve blockade. Donor site pain following autologous bone harvest is a common postoperative complication of lumbar fusion procedures that can cause significant morbidity and diminish quality of life, even in the context of an otherwise successful surgery. Dysfunction of the superior cluneal nerves is an etiology of this chronic pain. The patient's medical history, attempted treatments, and literature were reviewed.

Case presentation: A 45-year-old male with a six year history of severe pain over the right iliac crest following an otherwise successful lumbar laminectomy and fusion underwent two sets of superior cluneal nerve blocks, with sustained relief of more than 80% at seven months follow up.

Conclusions: Donor site pain following autologous iliac crest bone harvest is a common surgical complication that is often resistant to conservative treatments such as physical therapy and oral medications. Blockade of the superior cluneal nerves is a safe and technically simple procedure that may result in long-term pain relief, obviating the need to consider more invasive options.

No MeSH data available.


Related in: MedlinePlus