Summary
Between June 1987 and December 1990, an iliac crest prosthesis made of bioactive apatite- and wollastonite-containing glass ceramic (A-W·GC) was used in 60 patients for the reconstruction of the iliac crest defect after harvesting autogenous tricortical iliac bone graft. The clinical results of this prosthesis were satisfactory. No patients felt spontaneous pain in the reconstructed area, and 93% of the patients had no tenderness there. In the radiological evaluation at the final follow-up, no apparent “radiolucent clear zone” was detected at the prosthesis-iliac bone junction in 98% of the patients. Excellent new bone formation between the prosthesis and the iliac crest was also noticed in 96% of the patients. The A-W·GC iliac crest prosthesis was beneficial for reconstruction of the iliac crest defect.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Asano S, Kaneda K, Abumi K, Hashimoto T (1989) Clinical experience of A-W containing glass ceramic spacer for reconstruction of iliac crest defect (in Japanese). The Hakkaido Journal of Orthopaedics and Traumatology 33: 61–66
Castelein RM, Sauter AJM (1985) Lumbar hernia in an iliac bone graft defect. A case report. Acta Orthop Scand 56: 273–274
Cockin J (1971) Autologous bone grafting-complications at the donor site. J Bone Joint Surg [Br] 53: 153
Ghent WR (1961) Further studies on meralgia paresthetica. Can Med Assoc J 85: 871–875
Hashimoto T, Kaneda K, Abumi K, Kurakami T, Shirado O, Takeda N, Takahashi H, Fujiya M (1987) An experience of use of ceramic implant for iliac bone defect (in Japanese). Jpn Soc Orthop Ceram Impl 7: 55–58
Hochschuler SH, Guyer RD, Stith WJ, Ohnmeiss DD, Rashbaum RF, Johnson RG (1988) Proplast reconstruction of iliac crest defects. Spine 13: 378–379
Hyakuna K, Yamamuro T, Kotoura Y, Oka M, Nakamura T, Kitsugi T, Kokubo T, Kushitani H (1991) Surface reactions of calcium phosphate ceramics to various solutions. J Biomed Mater Res 24: 471–488
Kaneda K, Hashimoto T, Abumi K (1988) Reconstruction of the iliac crest with ceramic replacement. Orthop Trans 12: 633
Kitsugi T, Yamamuro T, Nakamura T, Higashi S, Kakutani Y, Hyakuna K, Ito S, Kokubo T, Takagi M, Shibuya T (1986) Bone bonding behavior of three kinds of apatite containing glass ceramics. J Biomed Mater Res 20: 1295–1307
Kitsugi T, Yamamuro T, Nakamura T, Kakutani Y, Hayashi T, Ito S, Kokubo T, Takagi M, Shibuya T (1987) Aging test and dynamic fatigue test apatite-wollastonite-containing glass ceramics and dense hydroxyapatite. J Biomed Mater Res 21: 467–484
Kitsugi T, Nakamura T, Yamamuro T, Kokubo T, Shibuya T, Takagi M (1987) SEM-EPMA observation of three types of apatite-containing glass-ceramics implanted in bone: the variance of a Ca-P-rich layer. J Biomed Mater Res 21: 1255–1271
Kitsugi T, Yamamuro T, Nakamura T, Kokubo T (1989) The bonding of glass ceramics to bone. Int Orthop 13: 199–206
Kokubo T, Shigematsu M, Nagashima Y, Tashiro M, Nakamura T, Yamamuro T, Higashi S (1982) Apatite- and wollastonite-containing glass-ceramics for prosthetic application. Bull Inst Chem Res Kyoto Univ 60: 260–268
Kokubo T (1989) Mechanical properties of a new type of glass-ceramic for prosthetic applications. In: Tsuruta T, Nakajima A (eds) Multiphase biomedical materials. VSP, Utrecht, pp 105–114
Kokubo T (1990) Surface chemistry of bioactive glass-ceramics. J. Non-cryst Solids 120: 138–151
Kokubo T, Ito S, Sakka S, Yamamuro T (1986) Formation of a high-strength bioactive glass-ceramic in the system MgO−CaO−SiO2−P2O5. J. Mater Sci 21: 536–540
Kokubo T, Ito S, Sakata S, Yamamuro T (1987) Fatigue and life-time of bioactive glass-ceramic A-W containing apatite and wollastonite. J Mater Sci 22: 4067–4070
Kuhn DA, Moreland MS (1986) Complications following iliac crest bone grafting. Clin Orthop 209: 224–226
Kurz LT, Garfin SR, Booth RE (1989) Harvesting autogenous iliac bone grafts. A review of complications and techniques. Spine 14: 1324–1331
Lubicky JP, DeWald RL (1982) Methylmethacrylate reconstruction of large iliac crest bone graft donor sites. Clin Orthop 164: 252–256
Nakamura T, Yamamuro T, Higashi S, Kokubo T, Ito S (1985) A new glass-ceramic for bone replacement: evaluation of its bonding to bone tissue. J Biomed Mater Res 19: 685–698
Ono K, Yamamuro T, Nakamura T, Kakutani Y, Kitsugi T, Hyakuna K, Kokubo T, Oka M, Kotoura Y (1988) Apatitewollastonite containing glass ceramic-fibrin mixture as a bone defect filler. J Biomed Mater Res 22: 869–885
Ono K, Yamamuro T, Nakamura T (1990) Quantitative study on osteoconduction of apatite-wollastonite containing glass ceramic granules, hydroxyapatite granules, and alumina granules. Biomaterials 11: 265–271
Reale F, Gambacorta D, Mencattini G (1979) Iliac crest fracture after removal of two bone plugs for anterior cervical fusion. Case report. J Neurosurg 51: 560–561
Reynolds AF, Turner PT, Loeser JD (1978) Fractures of the anterior superior iliac spine following anterior cervical fusion using iliac crest. Case report. J Neurosurg 48: 809–810
Satoh R, Furuya K, Shinomiya K, Ukegawa H, Satoh M, Okamoto A, Hasegawa S, Aoki H (1987) Clinical study on hydroxyapatite spacer for iliac bone defect (in Japanese). Orthop Surg Traumatol 30: 1439–1443
Takemitsu Y, Harada Y, Satoh Y, Shibata M, Suzuki S (1983) Ceramic implant for iliac bone defect (in Japanese). Jpn Soc Orthop Ceram Impl 3: 367–370
Yamamuro T (1990) Reconstruction of the iliac crest with bioactive glassceramic prosthesis. In: Yamamuro T, Hench LL, Wilson J (eds) Handbook of bioactive ceramics, Vol. I. CRC Press, Boca Raton, pp 335–342
Yamamuro T, Shikata J, Okumura H, Kitsugi T, Kakutani Y, Matsui T, Kokubo T (1990) Replacement of the lumbar vertebrae of sheep with ceramic prosthesis. J Bone Joint Surg [Br] 72: 889–893
Yoshii S, Kakutani Y, Yamamuro T, Nakamura T, Kitsugi T, Oka M, Kokubo T, Takagi M (1988) Strength of bonding between A-W glass-ceramic and the surface of bone cortex. J Biomed Mater Res 22: 327–338
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Asano, S., Kaneda, K., Satoh, S. et al. Reconstruction of an iliac crest defect with a bioactive ceramic prosthesis. Eur Spine J 3, 39–44 (1994). https://doi.org/10.1007/BF02428315
Issue Date:
DOI: https://doi.org/10.1007/BF02428315