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Updated: Jan 31, 2026
Intra-iliac Artery Injection for Efficient and Selective Modeling of Microscopic Bone Metastasis
Published on: September 26, 2016
Lumbar hernia after iliac crest bone harvest.
Anthony Pastore1, Jonathan E Sobel
1Anthony 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.
Lumbar hernias are rare, often developing after surgery like iliac crest bone harvest. This case highlights delayed flank pain presentation years post-procedure, emphasizing the need for awareness.
Area of Science:
- Surgical complications
- Abdominal wall reconstruction
- Hernia research
Background:
- Lumbar hernias are infrequent, with limited documented cases since 1731.
- Incisional lumbar hernias arise post-abdominal surgery (e.g., nephrectomy, aortic repair).
- Iliac crest bone harvesting is an identified cause, occurring in ~0.5% of cases.
Observation:
- A patient presented with flank pain years after an iliac crest bone harvest.
- The pain was attributed to a developing incisional lumbar hernia.
- Delayed presentation of lumbar hernia symptoms is noted.
Findings:
- The case illustrates a delayed manifestation of lumbar hernia following iliac crest bone harvest.
- Reviews the historical context and pathogenesis of lumbar hernias.
- Connects flank pain in a post-operative patient to a rare hernia type.
Implications:
- Highlights the importance of considering lumbar hernias in patients with delayed post-surgical flank pain.
- Suggests potential for long-term complications from iliac crest bone harvest procedures.
- Underscores the need for continued research into rare hernia types and their management.
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