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Are there any potential complications with harvesting bone from my hip?

Dr. Donald D. Dietze Jr.
Covington, LA

ABSOLUTELY, all surgical procedures have complications. However, remember the most important issue is what will yield the most successful surgical result. The literature varies in the incidence of complications with hip bone harvest from 20 - 40%. The most common complication is pain.

Dr. Eung-Jun Cha
Bedford, IN

Infection, pain from harvest site.

Dr. Sylvain Palmer
Mission Viejo, CA

There are potential complications. These include pain or numbness, infection or bleeding. There are other complications but they are rare.

Dr. J. Kenneth Burkus
Columbus, GA

Complications rates from the literature, and there is a long literature list on this, range from 5% to 40%. A more accurate number, reflective of today's advanced surgical techniques still show that there is a complication rate of around 10%. This can include hematoma formation, or blood clot formation.

Dr. Kenneth A. Pettine
Loveland, CO

The main complication from harvesting bone from the hip is acute or chronic pain from the bone graft site. In addition, bone that has been harvested from the iliac wing will typically never grow back. This bone is not weight bearing and this in and of itself does not produce any long-term problems.

Dr. Dennis G. Crandall
Mesa, AZ

Pain is the major complication from harvesting bone graft. It can last long term in as many as 20% of patients, though we probably do not know the actual percentage.

Dr. Kambiz Hannani
Los Angeles, CA

There are multiple complications associated with taking bone from the hips. The most common complication is pain after surgery at the site of bone removal. Other complications such as bleeding, infection, and nerve damage are also possible, but not common.

Dr. Paul J. Slosar
Daly City, CA

The most dangerous complication with harvesting bone is infection, which occurs in approximately four to eight percent of patients. The more common problem is the obvious disfiguring scar if you have to have another incision. Another complication is 35 percent of patients who have bone harvested will complain of persistent pain at the site of the bone harvest on the hip even after their fusion has healed. This pain can occur for two years or longer.

Dr. Sean Salehi
Chicago, IL

The complications of bone harvesting surgery include infection, blood loss, and additional pain.

Dr. Ezriel E. Kornel
White Plains, NY

Pain is the primary complication and there can also be an infection at that site.

Dr. Scott H. Kitchel
Eugene, OR

Bone graft harvesting from your hip does have complications including infection, fracture of the bone, and chronic pain at that site.

Dr. Theodore A. Belanger
Charlotte, NC

Persistent pain at the bone-graft harvest site is the most common complication. Other risks include bleeding, infection, pelvic fracture, or injury to the sacroiliac joint, which connects you spine to your pelvis.

Dr. Reginald Knight
Seattle, WA

Anesthesia, infection, failure of fusion, blood loss, nerve injury, pneumonia, urinary tract infection, persistent pain, loss of bowel and bladder; the potential list of complications is endless. A careful discussion of your particular procedure is critical to understanding which potential complication is a real risk for you.

Dr. Robert S. Pashman
Los Angeles, CA

There are potential complications with any surgical procedure. The complications most often associated with harvesting bone include infection, bleeding or chronic pain.

Dr. Jorge E. Isaza
Baton Rouge, LA

The complications of harvesting bone from the hip include excessive bleeding, fractures of the hip bone (or the ilium), stress fractures, hematomas, infection, chronic pain, and disfiguring scars.

Dr. W. Christopher Urban
Glen Burnie, MD

The complications associated with harvesting bone from the hip have been well described in the orthopaedic literature. These complications include infection, bleeding, neurovascular injury, fracture, and persistent pain from the donor site. Harvesting bone graft through a large incision is more likely to cause these complications than harvesting it through a minimally invasive approach. Stem cells may be taken from the hip percutaneously and be combined with synthetic products or donor bone in an effort to reduce donor site complications.

Dr. Andrew Glass
Someras Pt., NJ

The specific potential complications from harvesting bone from the iliac bone would depend upon the amount of bone required to be harvested as well as the portion of the ilium from which the bone needs to be harvested from. Categories of complications typically discussed include, but are not limited to: pain (temporary or chronic), serious bleeding or blood vessel injury, nerve injury, fracture of the iliac bone, infection, abdominal or pelvic injury, injury to the sacro-iliac joint (the joint that connects the lower part of the spine to the pelvic bone) and death.

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