Dual iliac screws in spinopelvic fixation: a systematic review

被引:21
作者
Bourghli, Anouar [1 ]
Boissiere, Louis [2 ]
Obeid, Ibrahim [2 ]
机构
[1] Kingdom Hosp, Orthoped & Spinal Surg Dept, POB 84400, Riyadh 11671, Saudi Arabia
[2] Bordeaux Pellegrin Hosp, Orthoped Spinal Surg Unit 1, Bordeaux, France
关键词
Dual iliac screws; Sacral U-shaped fracture; S1 pedicle subtraction osteotomy; Sacral tumor; Osteoporotic adult spinal deformity; PELVIC FIXATION; SACRAL FRACTURE; DEFORMITY; PARAMETERS;
D O I
10.1007/s00586-019-06065-3
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose The classical spinopelvic fixation includes 1 iliac screw on each side. The purpose of this study is to specify the indications of the "dual iliac screw" (DIS) construct, i.e., when to put 2 iliac screws on each side, to describe its biomechanical advantages, and to define its related technical aspects. Methods A primary search on Medline through PubMed distribution was performed, with the use of the terms "pelvic fixation" or "spinopelvic" or "lumbo-iliac" and the terms "dual iliac screw" or "double iliac screw." English papers corresponding to the inclusion criteria were analyzed regarding the specific indications of the DIS construct and its surgical technique and advantages. Results Eleven papers were identified according to the research criteria and included in this review. Three main indications were identified for the DIS technique according to three types of pathologies: in adult deformities when a long construct is needed in an osteoporotic patient or when correction requires three-column osteotomy of the sacrum; in trauma when a U-shaped fracture-dislocation of the sacrum is involved; in sacral tumors when a sacrectomy is performed or when destructive metastatic lesions of the sacrum require palliative surgical treatment. Biomechanically, the DIS technique proved to have higher construct stiffness in terms of compression and torsion. Conclusion In specific cases, affecting different areas of spinal diseases, the DIS technique is more advantageous, when compared to the "single iliac screw" version, as it would provide a stronger and safer fixation at the base of the spinopelvic construct. [GRAPHICS] .
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收藏
页码:2053 / 2059
页数:7
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