Successful Treatment of Chronic Donor Site Pain.
Anesth Pain Med
; 5(5): e18777, 2015 Oct.
Article
en En
| MEDLINE
| ID: mdl-26587399
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.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Aspecto:
Patient_preference
Idioma:
En
Revista:
Anesth Pain Med
Año:
2015
Tipo del documento:
Article
País de afiliación:
Estados Unidos