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Radiographic and Clinical Results of Freehand S2 Alar-Iliac Screw Placement for Spinopelvic Fixation: An Analysis of 45 Consecutive Screws
- Source :
- Clinical spine surgery. 30(7)
- Publication Year :
- 2017
-
Abstract
- Study design This was a retrospective clinical case series. Objective The purpose of this study was to evaluate mid-term outcomes of S2 ala-iliac (S2AI) screw fixation in patients who underwent multilevel posterior spinal fusion surgery. Summary of background data There have been few reports on radiographic and clinical outcomes in patients who underwent spinopelvic reconstruction surgery using S2AI screw installation. Materials and methods Twenty-three patients were treated by a single spinal surgeon between September 2013 and June 2014 utilizing segmental instrumentation with pedicle and S2AI screw. Instrumentation including S2AI screw was performed by a freehand technique. Surgical, radiographic, clinical outcomes and complications were evaluated to determine surgical results of S2AI screw fixation. Results The mean follow-up period was 16.9 months (ranged, 13-22 mo). The average number of fusion levels was 7.9 vertebral bodies. There were no cases of neurological deficit and violation of acetabulum or sciatic notch. A peri-screw halo was found in 1 patient and cortical wall violation was observed in 4 patients. The number of lateral and medial breaches was 2 and 3, respectively. All of them were asymptomatic. One patient experienced sacroiliac joint pain after S2AI screw installation. There was no case of screw/rod fracture and revision surgery for S2AI screw. Conclusions Radiographic and clinical outcomes of freehand S2AI screw fixation was acceptable. Sacroiliac joint irritation symptoms after S2AI screw fixation were rare. S2AI screw instrumentation can be a good alternative for spinopelvic fixation. Level of evidence Level 4.
- Subjects :
- musculoskeletal diseases
Male
medicine.medical_specialty
Spinal fusion surgery
medicine.medical_treatment
Radiography
Bone Screws
Pelvis
Ilium
03 medical and health sciences
0302 clinical medicine
Imaging, Three-Dimensional
medicine
Pelvic fixation
Humans
Orthopedics and Sports Medicine
Aged
Sacroiliac joint
Aged, 80 and over
030222 orthopedics
business.industry
Middle Aged
equipment and supplies
musculoskeletal system
Acetabulum
Greater sciatic notch
Spine
Surgery
surgical procedures, operative
medicine.anatomical_structure
Spinal Fusion
Treatment Outcome
Iliac screw
Spinal fusion
Female
Neurology (clinical)
business
Tomography, X-Ray Computed
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 23800194
- Volume :
- 30
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Clinical spine surgery
- Accession number :
- edsair.doi.dedup.....b28edd232bca6f68cfe919413b824fd2