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I have heard people talk about the pain associated with harvesting bone from the hip. Does this happen to everyone and how long does it last?

Dr. John S. Shiau
Staten Island, NY

Sometimes the pain from the donor site for bone graft is more painful that the surgery itself. What we in our group try to do is after we take the bone out we try to reconstruct that bone graft site. What we have found is that the pain associated with second incision is less than in patients for whom we don't reconstruct that donor site. Typically the pain associated with the hip graft can last anywhere from a few days to years or even permanent pain.

Dr. Sean Salehi
Chicago, IL

Everybody has pain immediately after the operation; however, 10 to 15% of patients have a nagging pain that does not require medication.

Dr. Donald D. Dietze Jr.
Covington, LA

Yes, all surgical procedures hurt and create pain. Everyone has pain ranging for at least 6 weeks. However, not everyone has persistent pain.

Dr. Sylvain Palmer
Mission Viejo, CA

Pain after harvesting bone is quite common. That is why we try to use other sources when it is not absolutely necessary to use your own hip bone.

Dr. Scott H. Kitchel
Eugene, OR

Everyone has some pain from a bone graft harvest. In many patients this pain is gone in 4-6 weeks but in up to 30% of patients it may persist for 2 years or more.

Dr. Dennis G. Crandall
Mesa, AZ

When the pack of the pelvis is thinned to harvest bone graft, pain is the natural result. That pain usually goes away in several weeks. About 20% of patients have some lasting discomfort at the site, whether sporadic or constant. Narcotic pain medication occasionally required.

Dr. Kenneth A. Pettine
Loveland, CO

Pain following bone grafting from the hip is quite variable. This can be a serious problem, which has stimulated research into alternative techniques to avoid bone grafting from the hip.

Dr. Jorge E. Isaza
Baton Rouge, LA

Pain from harvesting bone graft from the iliac crest is very common. Many patients say that this pain is even worse than the pain associated with the surgical site. Fortunately, it does not affect everyone, but this pain can last for six months to a year, and there are some patients that experience chronic pain as a result of the harvesting procedure.

Dr. Robert S. Pashman
Los Angeles, CA

There is pain associated with any surgical procedure. In the majority of patients the pain is resolved in a short period of time and they do not require medication. There are a small percentage of people who do suffer chronic pain following this bone harvesting.

Dr. Ezriel E. Kornel
White Plains, NY

Everyone gets some pain from that procedure from the harvesting of bone. In most people it resolves over a few weeks to a month or more but some patients have a persistent degree of discomfort or pain that can last forever.

Dr. Eung-Jun Cha
Bedford, IN

Most people have more pain at bone graft site than the actual spine surgery.

Dr. Reginald Knight
Seattle, WA

Most patients complain that the bone graft site hurts the most. The time to recovery of that graft site pain is variable. On occasion it may persist indefinitely.

Dr. J. Kenneth Burkus
Columbus, GA

Initially postoperatively virtually almost 100% of patients will complain of pain at that graph site. It does inhibit postoperative recovery. Physical therapy is delayed, patients have an additional drain there is also additional hemorrhage.

Dr. Jeffrey C. Wang
Los Angeles, CA

In order to take that bone graft you have to make a separate incision, and it does hurt. Most of the patients have that pain diminish over time and actually can be sore for some time. But it usually gets better. There are about 30% of patients who can have long-term pain from that bone graft site.

Dr. Theodore A. Belanger
Charlotte, NC

It is common for patients to experience discomfort from their bone-graft site that is more intense than that of their spinal operation after surgery. In general, it rapidly improves, but many patients still complain of at least some bone-graft donor-site discomfort up to 2 years after surgery. This is a commonly cited reason for using alternatives to your own bone when performing a fusion surgery. You and your surgeon will need to discuss which bone-graft option is right for your specific situation.

Dr. Kambiz Hannani
Los Angeles, CA

Bone removed from your hip usually causes additional pain, which may last for an extended period of time. Most surgeons attempt to avoid taking bone from the hip when good alternatives are available.

Dr. Scott Boden
Decatur, GA

Everyone has some donor site pain after surgery. In many cases it is quite severe and may be as or more painful than the surgical site. The donor site pain may last weeks, months, or be permanent. Up to 15% of patients may have significant ongoing pain at their bone graft donor site.

Dr. Andrew Glass
Someras Pt., NJ

There are certain advantages to harvesting your own bone. One of the disadvantages is local pain at the harvesting site. This pain can sometimes be of significant intensity. Most often, it is temporary and resolves during the spinal recovery period. Occasionally, the pain may be of a more chronic nature

The commentary above recounts the experiences of these physicians. Medtronic invited them to share their stories candidly. Keep in mind that results vary; not every patient's response is the same. Talk with your doctor to learn more about any products that are mentioned above.

It is important that you discuss the potential risks, complications and benefits of spinal surgery with your doctor prior to receiving treatment, and that you rely on your doctor's judgment. Only your doctor can determine whether you are a suitable candidate for this treatment.

  • Published: July 22, 2002
  • Updated: April 19, 2010