Sacral-Alar-Iliac Fixation in Pediatric Deformity: Radiographic Outcomes and Complications
Abstract Study Design Retrospective case series. Objectives To assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in children. Summary of Background Data Pelvic fixation in children undergoing spinal deformity surgery can be challenging because of complex anatomy,...
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Published in | Spine deformity Vol. 4; no. 3; pp. 225 - 229 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Cham
Elsevier Inc
01.05.2016
Springer International Publishing |
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Abstract | Abstract Study Design Retrospective case series. Objectives To assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in children. Summary of Background Data Pelvic fixation in children undergoing spinal deformity surgery can be challenging because of complex anatomy, compound biomechanical forces at the lumbosacral junction, and poor bone quality. Methods Radiographic and clinical records of 80 consecutive patients aged 18 years or younger who underwent posterior spinal fusion surgery with SAI fixation by one pediatric orthopedic surgeon and who had a minimum 2 years of follow-up (mean follow-up: 3.5 years, range, 2–7 years) were retrospectively reviewed. Changes in coronal curve magnitude and pelvic obliquity were assessed using Student t tests. Significance was set at a p value less than .05 for all analyses. Results Pelvic obliquity correction averaged 77%, from 26 ± 13 degrees before surgery to 6 ± 4 degrees at final follow-up (p < .001); 91% of the patients were corrected to a pelvic obliquity of less than 10 degrees. Coronal curve correction averaged 72%, from 78 ± 27 degrees before surgery to 22 ± 15 degrees at final follow-up (p < .001). No patient had vascular or neurologic complications or died perioperatively. Twenty patients (25%) had radiographic evidence of implant-related problems, of which there were nine screw fractures (all in the neck of screws with ≤8-mm outer diameter). Six patients had symptomatic complications associated with SAI fixation (three patients with pseudarthrosis at the lumbosacral junction, all of whom required revision surgery, two patients with implant prominence, and one patient with pain related to implant). Other complications included seven instances of wound dehiscence, three deep wound infections, and one superficial wound infection. Conclusions SAI fixation provided a low-profile alternative to iliac screws for the correction of pelvic obliquity. The largest possible diameter screws are recommended, ideally >8 mm. Level of Evidence Level 4. |
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AbstractList | Retrospective case series.
To assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in children.
Pelvic fixation in children undergoing spinal deformity surgery can be challenging because of complex anatomy, compound biomechanical forces at the lumbosacral junction, and poor bone quality.
Radiographic and clinical records of 80 consecutive patients aged 18 years or younger who underwent posterior spinal fusion surgery with SAI fixation by one pediatric orthopedic surgeon and who had a minimum 2 years of follow-up (mean follow-up: 3.5 years, range, 2–7 years) were retrospectively reviewed. Changes in coronal curve magnitude and pelvic obliquity were assessed using Student t tests. Significance was set at a p value less than .05 for all analyses.
Pelvic obliquity correction averaged 77%, from 26 ± 13 degrees before surgery to 6 ± 4 degrees at final follow-up (p < .001); 91% of the patients were corrected to a pelvic obliquity of less than 10 degrees. Coronal curve correction averaged 72%, from 78 ± 27 degrees before surgery to 22 ± 15 degrees at final follow-up (p < .001). No patient had vascular or neurologic complications or died perioperatively. Twenty patients (25%) had radiographic evidence of implant-related problems, of which there were nine screw fractures (all in the neck of screws with ≤8-mm outer diameter). Six patients had symptomatic complications associated with SAI fixation (three patients with pseudarthrosis at the lumbosacral junction, all of whom required revision surgery, two patients with implant prominence, and one patient with pain related to implant). Other complications included seven instances of wound dehiscence, three deep wound infections, and one superficial wound infection.
SAI fixation provided a low-profile alternative to iliac screws for the correction of pelvic obliquity. The largest possible diameter screws are recommended, ideally >8 mm.
Level 4. Abstract Study Design Retrospective case series. Objectives To assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in children. Summary of Background Data Pelvic fixation in children undergoing spinal deformity surgery can be challenging because of complex anatomy, compound biomechanical forces at the lumbosacral junction, and poor bone quality. Methods Radiographic and clinical records of 80 consecutive patients aged 18 years or younger who underwent posterior spinal fusion surgery with SAI fixation by one pediatric orthopedic surgeon and who had a minimum 2 years of follow-up (mean follow-up: 3.5 years, range, 2–7 years) were retrospectively reviewed. Changes in coronal curve magnitude and pelvic obliquity were assessed using Student t tests. Significance was set at a p value less than .05 for all analyses. Results Pelvic obliquity correction averaged 77%, from 26 ± 13 degrees before surgery to 6 ± 4 degrees at final follow-up (p < .001); 91% of the patients were corrected to a pelvic obliquity of less than 10 degrees. Coronal curve correction averaged 72%, from 78 ± 27 degrees before surgery to 22 ± 15 degrees at final follow-up (p < .001). No patient had vascular or neurologic complications or died perioperatively. Twenty patients (25%) had radiographic evidence of implant-related problems, of which there were nine screw fractures (all in the neck of screws with ≤8-mm outer diameter). Six patients had symptomatic complications associated with SAI fixation (three patients with pseudarthrosis at the lumbosacral junction, all of whom required revision surgery, two patients with implant prominence, and one patient with pain related to implant). Other complications included seven instances of wound dehiscence, three deep wound infections, and one superficial wound infection. Conclusions SAI fixation provided a low-profile alternative to iliac screws for the correction of pelvic obliquity. The largest possible diameter screws are recommended, ideally >8 mm. Level of Evidence Level 4. Study Design Retrospective case series. Objectives To assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in children. Summary of Background Data Pelvic fixation in children undergoing spinal deformity surgery can be challenging because of complex anatomy, compound biomechanical forces at the lumbosacral junction, and poor bone quality. Methods Radiographic and clinical records of 80 consecutive patients aged 18 years or younger who underwent posterior spinal fusion surgery with SAI fixation by one pediatric orthopedic surgeon and who had a minimum 2 years of follow-up (mean follow-up: 3.5 years, range, 2–7 years) were retrospectively reviewed. Changes in coronal curve magnitude and pelvic obliquity were assessed using Student t tests. Significance was set at a p value less than .05 for all analyses. Results Pelvic obliquity correction averaged 77%, from 26 ± 13 degrees before surgery to 6 ± 4 degrees at final follow-up (p <.001); 91% of the patients were corrected to a pelvic obliquity of less than 10 degrees. Coronal curve correction averaged 72%, from 78 ± 27 degrees before surgery to 22 ± 15 degrees at final follow-up (p <.001). No patient had vascular or neurologic complications or died perioperatively. Twenty patients (25%) had radiographic evidence of implant-related problems, of which there were nine screw fractures (all in the neck of screws with ≤8-mm outer diameter). Six patients had symptomatic complications associated with SAI fixation (three patients with pseudarthrosis at the lumbosacral junction, all of whom required revision surgery, two patients with implant prominence, and one patient with pain related to implant). Other complications included seven instances of wound dehiscence, three deep wound infections, and one superficial wound infection. Conclusions SAI fixation provided a low-profile alternative to iliac screws for the correction of pelvic obliquity. The largest possible diameter screws are recommended, ideally >8 mm. Level of Evidence Level 4. STUDY DESIGNRetrospective case series. OBJECTIVESTo assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in children. SUMMARY OF BACKGROUND DATAPelvic fixation in children undergoing spinal deformity surgery can be challenging because of complex anatomy, compound biomechanical forces at the lumbosacral junction, and poor bone quality. METHODSRadiographic and clinical records of 80 consecutive patients aged 18 years or younger who underwent posterior spinal fusion surgery with SAI fixation by one pediatric orthopedic surgeon and who had a minimum 2 years of follow-up (mean follow-up: 3.5 years, range, 2-7 years) were retrospectively reviewed. Changes in coronal curve magnitude and pelvic obliquity were assessed using Student t tests. Significance was set at a p value less than .05 for all analyses. RESULTSPelvic obliquity correction averaged 77%, from 26 ± 13 degrees before surgery to 6 ± 4 degrees at final follow-up (p < .001); 91% of the patients were corrected to a pelvic obliquity of less than 10 degrees. Coronal curve correction averaged 72%, from 78 ± 27 degrees before surgery to 22 ± 15 degrees at final follow-up (p < .001). No patient had vascular or neurologic complications or died perioperatively. Twenty patients (25%) had radiographic evidence of implant-related problems, of which there were nine screw fractures (all in the neck of screws with ≤8-mm outer diameter). Six patients had symptomatic complications associated with SAI fixation (three patients with pseudarthrosis at the lumbosacral junction, all of whom required revision surgery, two patients with implant prominence, and one patient with pain related to implant). Other complications included seven instances of wound dehiscence, three deep wound infections, and one superficial wound infection. CONCLUSIONSSAI fixation provided a low-profile alternative to iliac screws for the correction of pelvic obliquity. The largest possible diameter screws are recommended, ideally >8 mm. LEVEL OF EVIDENCELevel 4. |
Author | Kebaish, Khaled M. Sponseller, Paul D. Jain, Amit |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27927507$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1097/BRS.0b013e3181c212d1 10.1097/00007632-200109150-00007 10.1097/BRS.0b013e318067dcff 10.1097/BPO.0b013e3181b2b403 10.1097/BRS.0b013e3182a83e59 10.1097/00007632-199308000-00011 10.1097/01.brs.0000197193.81296.f1 10.1097/01.brs.0000238973.13294.16 10.1097/00007632-198405000-00011 10.1503/cjs.008210 10.1097/00007632-200010010-00007 10.1097/BRS.0b013e3181a4e3e4 10.1097/BRS.0b013e3181b95dca 10.3928/01477447-20081201-08 10.1097/BRS.0b013e318194128c 10.1097/BRS.0b013e3182426970 10.1097/BRS.0b013e3181e03881 10.1097/BPO.0000000000000254 10.2106/JBJS.E.00453 10.1016/S0030-5898(20)30320-5 |
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Keywords | Pelvic fixation Radiographic outcomes Sacral-alar-iliac screw Pediatric Spinal deformity |
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References | Sponseller, LaPorte, Hungerford (bib18) 2000; 25 Myung, Lee, Skaggs (bib20) 2015; 35 Jackson, McManus (bib5) 1993; 18 Moshirfar, Rand, Sponseller (bib1) 2005; 87 O'Shaughnessy, Lenke, Bridwell (bib9) 2012; 37 Allen, Ferguson (bib3) 1988; 19 Aleissa, Parsons, Grant (bib15) 2011; 54 Sponseller, Jain, Shah (bib17) 2013; 38 Sponseller (bib10) 2007; 2 Chang, Sponseller, Kebaish (bib13) 2009; 34 Phillips, Gutheil, Knapp (bib21) 2007; 32 Ilharreborde, Hoffmann, Tavakoli (bib4) 2009; 29 Allen, Ferguson (bib2) 1984; 9 Sponseller, Zimmerman, Ko (bib14) 2010; 35 Kuklo, Bridwell, Lewis (bib6) 2001; 26 O'Brien, Yu, Bhatnagar (bib12) 2009; 34 Cahill, Warnick, Lee (bib16) 2010; 35 Peelle, Lenke, Bridwell (bib8) 2006; 31 O'Brien, Matteini, Yu (bib11) 2010; 35 Tsuchiya, Bridwell, Kuklo (bib7) 2006; 31 Gitelman, Joseph, Carrion (bib19) 2008; 31 Jackson, McManus (CR5) 1993; 18 Aleissa, Parsons, Grant (CR15) 2011; 54 Gitelman, Joseph, Carrion (CR19) 2008; 31 Peelle, Lenke, Bridwell (CR8) 2006; 31 Cahill, Warnick, Lee (CR16) 2010; 35 O’Shaughnessy, Lenke, Bridwell (CR9) 2012; 37 Moshirfar, Rand, Sponseller (CR1) 2005; 87 Kuklo, Bridwell, Lewis (CR6) 2001; 26 Phillips, Gutheil, Knapp (CR21) 2007; 32 Myung, Lee, Skaggs (CR20) 2015; 35 Chang, Sponseller, Kebaish (CR13) 2009; 34 Sponseller (CR10) 2007; 2 O’Brien, Matteini, Yu (CR11) 2010; 35 Ilharreborde, Hoffmann, Tavakoli (CR4) 2009; 29 Allen, Ferguson (CR2) 1984; 9 Sponseller, Zimmerman, Ko (CR14) 2010; 35 Sponseller, LaPorte, Hungerford (CR18) 2000; 25 Sponseller, Jain, Shah (CR17) 2013; 38 Allen, Ferguson (CR3) 1988; 19 Tsuchiya, Bridwell, Kuklo (CR7) 2006; 31 O’Brien, Yu, Bhatnagar (CR12) 2009; 34 Tsuchiya (10.1016/j.jspd.2015.11.005_bib7) 2006; 31 O'Brien (10.1016/j.jspd.2015.11.005_bib11) 2010; 35 Sponseller (10.1016/j.jspd.2015.11.005_bib17) 2013; 38 O'Brien (10.1016/j.jspd.2015.11.005_bib12) 2009; 34 Ilharreborde (10.1016/j.jspd.2015.11.005_bib4) 2009; 29 Sponseller (10.1016/j.jspd.2015.11.005_bib14) 2010; 35 Gitelman (10.1016/j.jspd.2015.11.005_bib19) 2008; 31 Phillips (10.1016/j.jspd.2015.11.005_bib21) 2007; 32 Cahill (10.1016/j.jspd.2015.11.005_bib16) 2010; 35 Peelle (10.1016/j.jspd.2015.11.005_bib8) 2006; 31 Sponseller (10.1016/j.jspd.2015.11.005_bib18) 2000; 25 Myung (10.1016/j.jspd.2015.11.005_bib20) 2015; 35 O'Shaughnessy (10.1016/j.jspd.2015.11.005_bib9) 2012; 37 Sponseller (10.1016/j.jspd.2015.11.005_bib10) 2007; 2 Moshirfar (10.1016/j.jspd.2015.11.005_bib1) 2005; 87 Allen (10.1016/j.jspd.2015.11.005_bib3) 1988; 19 Aleissa (10.1016/j.jspd.2015.11.005_bib15) 2011; 54 Allen (10.1016/j.jspd.2015.11.005_bib2) 1984; 9 Chang (10.1016/j.jspd.2015.11.005_bib13) 2009; 34 Jackson (10.1016/j.jspd.2015.11.005_bib5) 1993; 18 Kuklo (10.1016/j.jspd.2015.11.005_bib6) 2001; 26 |
References_xml | – volume: 35 start-page: 460 year: 2010 end-page: 464 ident: bib11 article-title: Feasibility of minimally invasive sacropelvic fixation: percutaneous S2 alar iliac fixation publication-title: Spine (Phila Pa 1976) contributor: fullname: Yu – volume: 18 start-page: 1318 year: 1993 end-page: 1328 ident: bib5 article-title: The iliac buttress. A computed tomographic study of sacral anatomy publication-title: Spine (Phila Pa 1976) contributor: fullname: McManus – volume: 34 start-page: 436 year: 2009 end-page: 440 ident: bib13 article-title: Low profile pelvic fixation. Anatomic parameters for sacral alar-iliac fixation versus traditional iliac fixation publication-title: Spine (Phila Pa 1976) contributor: fullname: Kebaish – volume: 31 start-page: 1198 year: 2008 ident: bib19 article-title: Results and morbidity in a consecutive series of patients undergoing spinal fusion with iliac screws for neuromuscular scoliosis publication-title: Orthopedics contributor: fullname: Carrion – volume: 87 start-page: 89 year: 2005 end-page: 106 ident: bib1 article-title: Pelvic fixation in spine surgery: historical overview, indications, biomechanical relevance, and current techniques publication-title: J Bone Joint Surg Am contributor: fullname: Sponseller – volume: 26 start-page: 1976 year: 2001 end-page: 1983 ident: bib6 article-title: Minimum 2-year analysis of sacropelvic fixation and L5-S1 fusion using S1 and iliac screws publication-title: Spine (Phila Pa 1976) contributor: fullname: Lewis – volume: 37 start-page: 1175 year: 2012 end-page: 1181 ident: bib9 article-title: Should symptomatic iliac screws be electively removed in adult spinal deformity patients fused to the sacrum? publication-title: Spine (Phila Pa 1976) contributor: fullname: Bridwell – volume: 9 start-page: 388 year: 1984 end-page: 394 ident: bib2 article-title: The Galveston technique of pelvic fixation with L-rod instrumentation of the spine publication-title: Spine (Phila Pa 1976) contributor: fullname: Ferguson – volume: 35 start-page: 1211 year: 2010 end-page: 1217 ident: bib16 article-title: Infection after spinal fusion for pediatric spinal deformity: thirty years of experience at a single institution publication-title: Spine (Phila Pa 1976) contributor: fullname: Lee – volume: 34 start-page: E439 year: 2009 end-page: E442 ident: bib12 article-title: An anatomic study of the S2 iliac technique for lumbopelvic screw placement publication-title: Spine (Phila Pa 1976) contributor: fullname: Bhatnagar – volume: 29 start-page: 594 year: 2009 end-page: 601 ident: bib4 article-title: Intrasacral rod fixation for pediatric long spinal fusion: results of a prospective study with a minimum 5-year follow-up publication-title: J Pediatr Orthop contributor: fullname: Tavakoli – volume: 35 start-page: 258 year: 2015 end-page: 265 ident: bib20 article-title: Early pelvic fixation failure in neuromuscular scoliosis publication-title: J Pediatr Orthop contributor: fullname: Skaggs – volume: 38 start-page: 2023 year: 2013 end-page: 2027 ident: bib17 article-title: Deep wound infections after spinal fusion in children with cerebral palsy: a prospective cohort study publication-title: Spine (Phila Pa 1976) contributor: fullname: Shah – volume: 25 start-page: 2461 year: 2000 end-page: 2466 ident: bib18 article-title: Deep wound infections after neuromuscular scoliosis surgery. A multicenter study of risk factors and treatment outcomes publication-title: Spine (Phila Pa 1976) contributor: fullname: Hungerford – volume: 2 start-page: 83 year: 2007 end-page: 87 ident: bib10 article-title: The S2 portal to the ilium publication-title: Roundtables Spine Surg contributor: fullname: Sponseller – volume: 31 start-page: 2392 year: 2006 end-page: 2398 ident: bib8 article-title: Comparison of pelvic fixation techniques in neuromuscular spinal deformity correction: Galveston rod versus iliac and lumbosacral screws publication-title: Spine (Phila Pa 1976) contributor: fullname: Bridwell – volume: 54 start-page: 263 year: 2011 end-page: 269 ident: bib15 article-title: Deep wound infection following pediatric scoliosis surgery: incidence and analysis of risk factors publication-title: Can J Surg contributor: fullname: Grant – volume: 19 start-page: 409 year: 1988 end-page: 418 ident: bib3 article-title: 1988 perspective on the Galveston technique of pelvic fixation publication-title: Orthop Clin North Am contributor: fullname: Ferguson – volume: 31 start-page: 303 year: 2006 end-page: 308 ident: bib7 article-title: Minimum 5-year analysis of L5-S1 fusion using sacropelvic fixation (bilateral S1 and iliac screws) for spinal deformity publication-title: Spine (Phila Pa 1976) contributor: fullname: Kuklo – volume: 35 start-page: 1887 year: 2010 end-page: 1892 ident: bib14 article-title: Low profile pelvic fixation with the sacral alar iliac technique in the pediatric population improves results at two-year minimum follow-up publication-title: Spine (Phila Pa 1976) contributor: fullname: Ko – volume: 32 start-page: 1566 year: 2007 end-page: 1570 ident: bib21 article-title: Iliac screw fixation in neuromuscular scoliosis publication-title: Spine (Phila Pa 1976) contributor: fullname: Knapp – volume: 35 start-page: 1211 year: 2010 end-page: 7 ident: CR16 article-title: Infection after spinal fusion for pediatric spinal deformity: thirty years of experience at a single institution publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3181c212d1 contributor: fullname: Lee – volume: 87 start-page: 89 year: 2005 end-page: 106 ident: CR1 article-title: Pelvic fixation in spine surgery: historical overview, indications, biomechanical relevance, and current techniques publication-title: J Bone Joint Surg Am contributor: fullname: Sponseller – volume: 26 start-page: 1976 year: 2001 end-page: 83 ident: CR6 article-title: Minimum 2-year analysis of sacropelvic fixation and L5–S1 fusion using S1 and iliac screws publication-title: Spine (Phila Pa 1976) doi: 10.1097/00007632-200109150-00007 contributor: fullname: Lewis – volume: 32 start-page: 1566 year: 2007 end-page: 70 ident: CR21 article-title: Iliac screw fixation in neuromuscular scoliosis publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e318067dcff contributor: fullname: Knapp – volume: 35 start-page: 258 year: 2015 end-page: 65 ident: CR20 article-title: Early pelvic fixation failure in neuromuscular scoliosis publication-title: J Pediatr Orthop contributor: fullname: Skaggs – volume: 29 start-page: 594 year: 2009 end-page: 601 ident: CR4 article-title: Intrasacral rod fixation for pediatric long spinal fusion: results of a prospective study with a minimum 5-year follow-up publication-title: J Pediatr Orthop doi: 10.1097/BPO.0b013e3181b2b403 contributor: fullname: Tavakoli – volume: 38 start-page: 2023 year: 2013 end-page: 7 ident: CR17 article-title: Deep wound infections after spinal fusion in children with cerebral palsy: a prospective cohort study publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3182a83e59 contributor: fullname: Shah – volume: 18 start-page: 1318 year: 1993 end-page: 28 ident: CR5 article-title: The iliac buttress. A computed tomographic study of sacral anatomy publication-title: Spine (Phila Pa 1976) doi: 10.1097/00007632-199308000-00011 contributor: fullname: McManus – volume: 31 start-page: 303 year: 2006 end-page: 8 ident: CR7 article-title: Minimum 5-year analysis of L5-S1 fusion using sacropelvic fixation (bilateral S1 and iliac screws) for spinal deformity publication-title: Spine (Phila Pa 1976) doi: 10.1097/01.brs.0000197193.81296.f1 contributor: fullname: Kuklo – volume: 31 start-page: 2392 year: 2006 end-page: 8 ident: CR8 article-title: Comparison of pelvic fixation techniques in neuromuscular spinal deformity correction: Galveston rod versus iliac and lumbosacral screws publication-title: Spine (Phila Pa 1976) doi: 10.1097/01.brs.0000238973.13294.16 contributor: fullname: Bridwell – volume: 2 start-page: 83 year: 2007 end-page: 7 ident: CR10 article-title: The S2 portal to the ilium publication-title: Roundtables Spine Surg contributor: fullname: Sponseller – volume: 9 start-page: 388 year: 1984 end-page: 94 ident: CR2 article-title: The Galveston technique of pelvic fixation with L-rod instrumentation of the spine publication-title: Spine (Phila Pa 1976) doi: 10.1097/00007632-198405000-00011 contributor: fullname: Ferguson – volume: 19 start-page: 409 year: 1988 end-page: 18 ident: CR3 article-title: 1988 perspective on the Galveston technique of pelvic fixation publication-title: Orthop Clin North Am contributor: fullname: Ferguson – volume: 54 start-page: 263 year: 2011 end-page: 9 ident: CR15 article-title: Deep wound infection following pediatric scoliosis surgery: incidence and analysis of risk factors publication-title: Can J Surg doi: 10.1503/cjs.008210 contributor: fullname: Grant – volume: 25 start-page: 2461 year: 2000 end-page: 6 ident: CR18 article-title: Deep wound infections after neuromuscular scoliosis surgery. A multicenter study of risk factors and treatment outcomes publication-title: Spine (Phila Pa 1976) doi: 10.1097/00007632-200010010-00007 contributor: fullname: Hungerford – volume: 34 start-page: E439 year: 2009 end-page: 42 ident: CR12 article-title: An anatomic study of the S2 iliac technique for lumbopelvic screw placement publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3181a4e3e4 contributor: fullname: Bhatnagar – volume: 35 start-page: 460 year: 2010 end-page: 4 ident: CR11 article-title: Feasibility of minimally invasive sacropelvic fixation: percutaneous S2 alar iliac fixation publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3181b95dca contributor: fullname: Yu – volume: 31 start-page: 1198 year: 2008 ident: CR19 article-title: Results and morbidity in a consecutive series of patients undergoing spinal fusion with iliac screws for neuromuscular scoliosis publication-title: Orthopedics doi: 10.3928/01477447-20081201-08 contributor: fullname: Carrion – volume: 34 start-page: 436 year: 2009 end-page: 40 ident: CR13 article-title: Low profile pelvic fixation. Anatomic parameters for sacral alar-iliac fixation versus traditional iliac fixation publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e318194128c contributor: fullname: Kebaish – volume: 37 start-page: 1175 year: 2012 end-page: 81 ident: CR9 article-title: Should symptomatic iliac screws be electively removed in adult spinal deformity patients fused to the sacrum? publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3182426970 contributor: fullname: Bridwell – volume: 35 start-page: 1887 year: 2010 end-page: 92 ident: CR14 article-title: Low profile pelvic fixation with the sacral alar iliac technique in the pediatric population improves results at two-year minimum follow-up publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3181e03881 contributor: fullname: Ko – volume: 18 start-page: 1318 year: 1993 ident: 10.1016/j.jspd.2015.11.005_bib5 article-title: The iliac buttress. A computed tomographic study of sacral anatomy publication-title: Spine (Phila Pa 1976) doi: 10.1097/00007632-199308000-00011 contributor: fullname: Jackson – volume: 35 start-page: 1887 year: 2010 ident: 10.1016/j.jspd.2015.11.005_bib14 article-title: Low profile pelvic fixation with the sacral alar iliac technique in the pediatric population improves results at two-year minimum follow-up publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3181e03881 contributor: fullname: Sponseller – volume: 31 start-page: 1198 year: 2008 ident: 10.1016/j.jspd.2015.11.005_bib19 article-title: Results and morbidity in a consecutive series of patients undergoing spinal fusion with iliac screws for neuromuscular scoliosis publication-title: Orthopedics doi: 10.3928/01477447-20081201-08 contributor: fullname: Gitelman – volume: 31 start-page: 303 year: 2006 ident: 10.1016/j.jspd.2015.11.005_bib7 article-title: Minimum 5-year analysis of L5-S1 fusion using sacropelvic fixation (bilateral S1 and iliac screws) for spinal deformity publication-title: Spine (Phila Pa 1976) doi: 10.1097/01.brs.0000197193.81296.f1 contributor: fullname: Tsuchiya – volume: 37 start-page: 1175 year: 2012 ident: 10.1016/j.jspd.2015.11.005_bib9 article-title: Should symptomatic iliac screws be electively removed in adult spinal deformity patients fused to the sacrum? publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3182426970 contributor: fullname: O'Shaughnessy – volume: 25 start-page: 2461 year: 2000 ident: 10.1016/j.jspd.2015.11.005_bib18 article-title: Deep wound infections after neuromuscular scoliosis surgery. A multicenter study of risk factors and treatment outcomes publication-title: Spine (Phila Pa 1976) doi: 10.1097/00007632-200010010-00007 contributor: fullname: Sponseller – volume: 35 start-page: 258 year: 2015 ident: 10.1016/j.jspd.2015.11.005_bib20 article-title: Early pelvic fixation failure in neuromuscular scoliosis publication-title: J Pediatr Orthop doi: 10.1097/BPO.0000000000000254 contributor: fullname: Myung – volume: 2 start-page: 83 year: 2007 ident: 10.1016/j.jspd.2015.11.005_bib10 article-title: The S2 portal to the ilium publication-title: Roundtables Spine Surg contributor: fullname: Sponseller – volume: 35 start-page: 1211 year: 2010 ident: 10.1016/j.jspd.2015.11.005_bib16 article-title: Infection after spinal fusion for pediatric spinal deformity: thirty years of experience at a single institution publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3181c212d1 contributor: fullname: Cahill – volume: 29 start-page: 594 year: 2009 ident: 10.1016/j.jspd.2015.11.005_bib4 article-title: Intrasacral rod fixation for pediatric long spinal fusion: results of a prospective study with a minimum 5-year follow-up publication-title: J Pediatr Orthop doi: 10.1097/BPO.0b013e3181b2b403 contributor: fullname: Ilharreborde – volume: 26 start-page: 1976 year: 2001 ident: 10.1016/j.jspd.2015.11.005_bib6 article-title: Minimum 2-year analysis of sacropelvic fixation and L5-S1 fusion using S1 and iliac screws publication-title: Spine (Phila Pa 1976) doi: 10.1097/00007632-200109150-00007 contributor: fullname: Kuklo – volume: 87 start-page: 89 year: 2005 ident: 10.1016/j.jspd.2015.11.005_bib1 article-title: Pelvic fixation in spine surgery: historical overview, indications, biomechanical relevance, and current techniques publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.E.00453 contributor: fullname: Moshirfar – volume: 9 start-page: 388 year: 1984 ident: 10.1016/j.jspd.2015.11.005_bib2 article-title: The Galveston technique of pelvic fixation with L-rod instrumentation of the spine publication-title: Spine (Phila Pa 1976) doi: 10.1097/00007632-198405000-00011 contributor: fullname: Allen – volume: 31 start-page: 2392 year: 2006 ident: 10.1016/j.jspd.2015.11.005_bib8 article-title: Comparison of pelvic fixation techniques in neuromuscular spinal deformity correction: Galveston rod versus iliac and lumbosacral screws publication-title: Spine (Phila Pa 1976) doi: 10.1097/01.brs.0000238973.13294.16 contributor: fullname: Peelle – volume: 54 start-page: 263 year: 2011 ident: 10.1016/j.jspd.2015.11.005_bib15 article-title: Deep wound infection following pediatric scoliosis surgery: incidence and analysis of risk factors publication-title: Can J Surg doi: 10.1503/cjs.008210 contributor: fullname: Aleissa – volume: 35 start-page: 460 year: 2010 ident: 10.1016/j.jspd.2015.11.005_bib11 article-title: Feasibility of minimally invasive sacropelvic fixation: percutaneous S2 alar iliac fixation publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3181b95dca contributor: fullname: O'Brien – volume: 34 start-page: 436 year: 2009 ident: 10.1016/j.jspd.2015.11.005_bib13 article-title: Low profile pelvic fixation. Anatomic parameters for sacral alar-iliac fixation versus traditional iliac fixation publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e318194128c contributor: fullname: Chang – volume: 32 start-page: 1566 year: 2007 ident: 10.1016/j.jspd.2015.11.005_bib21 article-title: Iliac screw fixation in neuromuscular scoliosis publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e318067dcff contributor: fullname: Phillips – volume: 19 start-page: 409 year: 1988 ident: 10.1016/j.jspd.2015.11.005_bib3 article-title: 1988 perspective on the Galveston technique of pelvic fixation publication-title: Orthop Clin North Am doi: 10.1016/S0030-5898(20)30320-5 contributor: fullname: Allen – volume: 34 start-page: E439 year: 2009 ident: 10.1016/j.jspd.2015.11.005_bib12 article-title: An anatomic study of the S2 iliac technique for lumbopelvic screw placement publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3181a4e3e4 contributor: fullname: O'Brien – volume: 38 start-page: 2023 year: 2013 ident: 10.1016/j.jspd.2015.11.005_bib17 article-title: Deep wound infections after spinal fusion in children with cerebral palsy: a prospective cohort study publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3182a83e59 contributor: fullname: Sponseller |
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Snippet | Abstract Study Design Retrospective case series. Objectives To assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in... Retrospective case series. To assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in children. Pelvic fixation in children... Study Design Retrospective case series. Objectives To assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in children.... STUDY DESIGNRetrospective case series. OBJECTIVESTo assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in children. SUMMARY... |
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SubjectTerms | Adolescent Bone Screws Child Child, Preschool Humans Ilium - surgery Medicine & Public Health Orthopedics Pediatric Pelvic fixation Radiographic outcomes Radiography Retrospective Studies Sacral-alar-iliac screw Sacrum - surgery Spinal deformity Spinal Fusion - adverse effects Spinal Fusion - methods Treatment Outcome Young Adult |
Title | Sacral-Alar-Iliac Fixation in Pediatric Deformity: Radiographic Outcomes and Complications |
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