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Lumbar hernia after iliac crest bone harvest

Pastore, Anthony, PA-C; Sobel, Jonathan E., PA-C, DMSc, MBA, DFAAPA, FAPACVS

Journal of the American Academy of PAs: January 2019 - Volume 32 - Issue 1 - p 33–34
doi: 10.1097/01.JAA.0000546479.64441.c9
Case Report

ABSTRACT A lumbar hernia is a rare occurrence, with about 300 cases reported in the literature since the first publication by Garengeot in 1731. Incisional lumbar hernias are defined as secondary acquired hernias that can develop after surgeries such as nephrectomies or aortic aneurysm repairs. Harvesting bone from the iliac crest also has been identified as a cause of incisional lumbar hernias, occurring after about 0.5% of these procedures. This article discusses a patient presenting with flank pain years after an iliac crest bone harvest as well as a brief review of the pathogenesis and history of lumbar hernias.

Anthony Pastore was a student in the PA program at Pace University-Lenox Hill Hospital at the time this article was written. He now practices orthopedic surgery in Fairfield, Conn. Jonathan E. Sobel is senior administrative director for PA services at Northwell Health-Lenox Hill Hospital in New York, N.Y., and president and chair of the board of directors of the American Academy of PAs. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Copyright © 2019 American Academy of Physician Assistants
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