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Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Jun;107(6):e12-4. doi: 10.1016/j.tripleo.2009.02.003.

Fracture of the anterior iliac crest following monocortical bone graft harvest in bisphosphonate-related mandibular pathological fracture: a case report.

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Department of Maxillofacial Surgery, Hospital Universitario 12 de Octubre, Madrid, Spain.


The anterior iliac crest is the most common donor site for autologous nonvascularized bone because of the great amount of bone available and easy access. Documented donor-site complications include arterial, nerve, or urethral injury; herniation; chronic donor-site pain; sacroiliac joint instability; pelvic fractures; gait disturbances; hematoma; infection; peritoneal perforation; cosmetic defects; and hip subluxation. We present the case of a pathologic fracture of the right anterior iliac crest during the immediate postoperative period in a patient with a bisphosphonate-related osteochemonecrosis with pathological fracture of mandibular body. The patient was managed with nonoperative treatment.

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