Spinopelvic Fixation.
10.4184/jkss.2009.16.4.304
- Author:
Chang Hun YU
1
;
Jae Jun YANG
;
Bong Soon CHANG
Author Information
1. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, Korea. bschang@snu.ac.kr
- Publication Type:Review
- Keywords:
Lumbosacral fixation;
Spinopelvic fixation;
Iliac screw
- MeSH:
Sacrum;
Scoliosis;
Spine;
Succinates
- From:Journal of Korean Society of Spine Surgery
2009;16(4):304-312
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lumbosacral fixation or spinopelvic fixation is frequently required for the surgical treatment of neuromuscular scoliosis and degenerative lesions, trauma and tumor in the lumbosacral vertebrae. However, the establishment of stable fixation with these procedures is difficult due to the anatomic characteristics of the sacrum and this is even more problematic for the cases with long segmental fixation, severe instability and bone defects. Although the emergence of pedicle screws makes spinal fixation easier and more rigid, S1 pedicle screws alone do not provide enough stability for lumbosacral fixation. For the purposes of reinforcing lumbosacral fixation, procedures using rods or screws can be used: the procedures using rods include the Galveston method, the McCarthy S-rod and the Jackson intrasacral rod, and the procedures using screws include sacral alar screws, transdiscal screws and iliac screws. The purpose of this study was to ascertain the proper fixation methods, according to each indication, for spinopelvic fixation and we analyzed the advantages and drawbacks of each fixation method. In addition, the fixation method of iliac screws, which has recently become more popular, is presented in detail to enhance the availability and reduce the complication of this technique.
