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Acta Neurochirurgica

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01-02-2013 | How I Do it - Spine

Low-profile pelvic fixation with sacral alar-iliac screws

Authors: Tobias A. Mattei, Daniel R. Fassett

Published in: Acta Neurochirurgica | Issue 2/2013

Abstract

Background

In the last years, a new technique for pelvic fixation using ‘sacral alar-iliac’ screws has been proposed as an alternative to the classic ‘iliac wing’ screws and the old Galveston technique.

Methods

The authors provide a ‘step-by-step’ review of the technical details regarding this technique, as well as some important anatomical and radiological landmarks for its successful performance.

Conclusions

‘Sacral alar-iliac’ screws provide several advantages in relation to pelvic fixation with iliac bolts such as: better alignment with the rods, use of a ‘low-profile’ screw, and fixation of the sacroiliac (SI) joint, which avoids postoperative SI joint-related pain.

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Chang TL, Sponseller PD, Kebaish KM, Fishman EK (2009) Low profile pelvic fixation: anatomic parameters for sacral alar-iliac fixation versus traditional iliac fixation. Spine (Phila Pa 1976) 34:436–40CrossRef

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Moshirfar A, Rand FF, Sponseller PD, Parazin SJ, Khanna AJ, Kebaish KM, Stinson JT, Riley LH 3rd (2005) Pelvic fixation in spine surgery. Historical overview, indications, biomechanical relevance, and current techniques. J Bone Joint Surg Am 87:89–106PubMedCrossRef

O’Brien JR, Yu WD, Bhatnagar R, Sponseller P, Kebaish KM (2009) An anatomic study of the S2 iliac technique for lumbopelvic screw placement. Spine (Phila Pa 1976) 34:E439–42CrossRef

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10.

Sponseller PD, Zimmerman RM, Ko PS, Pull Ter Gunne AF, Mohamed AS, Chang TL, Kebaish KM (2010) Low profile pelvic fixation with the sacral alar iliac technique in the pediatric population improves results at two-year minimum follow-up. Spine (Phila Pa 1976) 35:1887–92CrossRef

Title: Low-profile pelvic fixation with sacral alar-iliac screws
Authors: Tobias A. Mattei
Daniel R. Fassett
Publication date: 01-02-2013
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 2/2013
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-012-1560-5

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Low-profile pelvic fixation with sacral alar-iliac screws

Abstract

Background

Methods

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Conclusions

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