Complications of Iliac Screw in Spinopelvic Fixation With Adult Spinal Deformity: Complications of Iliac Screw in Spinopelvic Fixation.
10.4184/jkss.2013.20.3.113
- Author:
Whoan Jeang KIM
1
;
Yong Joo CHI
;
Jong Won KANG
;
Kun Young PARK
;
Je Yun KOO
;
Won Cho KWON
;
Won Sik CHOY
Author Information
1. Department of Orthopedic Surgery, Eulji University School of Medicine, Daejeon, Korea. hjkim@eulji.ac.kr
- Publication Type:Original Article
- Keywords:
Adult spinal deformity;
Spinopelvic fixation;
Iliac screw;
Complication
- MeSH:
Adult;
Bursitis;
Congenital Abnormalities;
Humans;
Kyphosis;
Reoperation;
Retrospective Studies;
Sacroiliac Joint;
Scoliosis
- From:Journal of Korean Society of Spine Surgery
2013;20(3):113-117
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: Retrospective study. OBJECTIVES: To evaluate clinical & radiologic significance about complications of spinopelvic fixation with iliac screw in patients with adult spinal deformity. SUMMARY OF LITERATURE REVIEW: Complications of iliac screw fixation in adult spinal deformity patients was obscure in spite of the good results of iliac screw fixation. MATERIALS AND METHODS: We analyzed 27 patients, followed over 1-year, with adult spinal deformity (lumbar degenerative kyphosis, degenerative lumbar scoliosis, flat back syndrome). The study was done for complications of iliac screw fixation by clinical and radiological evaluations. RESULTS: Post-operative iliac screw prominence were 15 cases (55.5%), iliac screw breakage was 1 case (3.7%), bursitis was 1 case (3.7%), sacroiliac joint pain were 5 cases (18.5%), halo sign around iliac screw were 23 cases (85.1%), and 3 cases (11.1%) were performed reoperation. There was no significance between halo sign and sacroiliac joint pain. CONCLUSIONS: Iliac screw fixation is a very useful operative method without severe complications on spinopelvic fixation. There are some complications of iliac screw fixation and iliac screw prominence is a most common problem, but few counterplan exits. So, further studies about reducing complication method, management protocols of iliac screw complication were needed.
