지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 466 - 470 (5page)
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초록· 키워드
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To illustrate the safe placement of a 5-screw/5-rod construct across the spinopelvic junction in a complex revision case utilizing 4 S2 alar-iliac (S2AI) screws as well as an iliac screw for a kickstand rod. The S2AI screws are often used for lumbosacral fixation at the base of long spinal deformity constructs. In severe spinal deformities, additional pelvic fixation beyond the standard 2 screws may help achieve and maintain correction, and also increase the rigidity of the construct. With a thorough understanding of pelvic anatomy, multiple pelvic screws, such as bilateral dual S2AI screws, may be placed safely to achieve stability and accommodate additional rods to perform powerful correction techniques. We illustrate the safe use of multiple rods across the lumbosacral junction in this case, by using both a hook rod construct and domino connectors – ultimately though these additional rods rely on the integrity of the pelvic fixation to provide their support. We recommend at least 3 rods across the lumbosacral junction in any adult spinal deformity case requiring pelvic fixation, and would recommend considering more than 3 rods, especially across 3-column osteotomy sites. For long spinal constructs in patients with significant adult spinal deformity, we believe the use of multiple pelvic screws to a multirod construct is a safe and effective way to provide long-term correction and clinical success.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Jain A / 2015 / Pelvic fixation in adult and pediatric spine surgery : historical perspective, indications, and techniques : AAOS exhibit selection / J Bone Joint Surg Am 97:1521~1528
Sponseller PD / 2007 / The S2 portal to the ilium / Semin Spine Surg 2:83~87
Chang TL / 2009 / Low profile pelvic fixation: anatomic parameters for sacral alar-iliac fixation versus traditional iliac fixation / Spine 34:436~440
Burns CB / 2016 / Biomechanical comparison of spinopelvic fixation constructs : iliac screw versus S2-alar-iliac screw / Spine Deform 4:10~15
Shillingford JN / 2018 / The free-hand technique for S2-alar-iliac screw placement : a safe and effective method for sacropelvic fixation in adult spinal deformity / J Bone Joint Surg Am 100:334~342
Sponseller PD / 2007 / The S2 portal to the ilium / Semin Spine Surg 2:83~87
Chang TL / 2009 / Low profile pelvic fixation: anatomic parameters for sacral alar-iliac fixation versus traditional iliac fixation / Spine 34:436~440
Burns CB / 2016 / Biomechanical comparison of spinopelvic fixation constructs : iliac screw versus S2-alar-iliac screw / Spine Deform 4:10~15
Shillingford JN / 2018 / The free-hand technique for S2-alar-iliac screw placement : a safe and effective method for sacropelvic fixation in adult spinal deformity / J Bone Joint Surg Am 100:334~342
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