直接髂骨螺钉与骶2-翼-髂骨螺钉技术用于骨盆固定：技术细节及文献综述
Direct Iliac Screw vs Sacral-2-Alar-Iliac Screws Technique for Sacropelvic Fixation: Technical Nuances and a Review of the Literature.
作者信息
Habib Ahmed, Muthiah Nallammai, Alattar Ali, Hoppe Meagan, Agarwal Nitin, Alan Nima, Hamilton David Kojo, Ozpinar Alp
机构信息
Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, USA.
Hillman Cancer Center, University of Pittsburgh Medical Center, Pittsburgh, USA.
出版信息
Int J Spine Surg. 2023 Aug;17(4):511-519. doi: 10.14444/8449. Epub 2023 Apr 13.
Abstract
Sacropelvic (SP) fixation is the immobilization of the sacroiliac joint to attain lumbosacral fusion and prevent distal spinal junctional failure. SP fixation is indicated in numerous spinal conditions (eg, scoliosis, multilevel spondylolisthesis, spinal/sacral trauma, tumors, or infections). Many SP fixation techniques have been described in the literature. Currently, the most used surgical techniques for SP fixation are direct iliac screws and sacral-2-alar-iliac screws. There is currently no consensus in the literature on which technique carries more favorable clinical outcomes. In this review, we aim to assess the available data on each technique and discuss their respective advantages and disadvantages. We will also present our experience with a modification of direct iliac screws using a subcrestal approach and outline the future prospects of SP fixation.
摘要
骶骨盆（SP）固定是指对骶髂关节进行固定，以实现腰骶融合并防止脊柱远端连接部失败。SP固定适用于多种脊柱疾病（如脊柱侧弯、多节段椎体滑脱、脊柱/骶骨创伤、肿瘤或感染）。文献中已描述了许多SP固定技术。目前，SP固定最常用的手术技术是直接髂骨螺钉和骶2-翼-髂螺钉。目前文献中对于哪种技术具有更有利的临床结果尚无共识。在本综述中，我们旨在评估每种技术的现有数据，并讨论它们各自的优缺点。我们还将介绍我们使用嵴下入路改良直接髂骨螺钉的经验，并概述SP固定的未来前景。
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