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The Journal of Bone and Joint Surgery 80:631-5 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Postoperative Drains at the Donor Sites of Iliac-Crest Bone Grafts. A Prospective, Randomized Study of Morbidity at the Donor Site in Patients Who Had a Traumatic Injury of the Spine*

RICK C. SASSO, M.D.{dagger}, JOHN I. WILLIAMS, M.D.{dagger}, NANCY DIMASI, R.N.{ddagger} and PAUL R. MEYER, JR., M.D.{ddagger}, CHICAGO, ILLINOIS

Investigation performed at Northwestern Memorial Hospital, Chicago

A prospective, randomized study was performed to assess the effectiveness of postoperative closed suction drainage. One hundred and twelve consecutive procedures involving autologous iliac-crest bone graft were performed, from December 29, 1992, to July 1, 1993, following a traumatic injury of the spine in 108 patients. Sixty of the sites from which the bone graft had been obtained were drained with a single large Hemovac device. The drains were maintained for two to five days postoperatively. The remaining fifty-two incisions were closed without a drainage device. All patients were evaluated clinically for problems with wound-healing. The incisions were considered to be healed when they had been asymptomatic for one year. Of eleven patients who had problems with wound-healing, six had been managed with a drain and five had not. The findings of this study do not support the routine use of drainage at the donor sites of iliac-crest bone grafts.


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