Browse > Article

Lumbo-sacro-pelvic Fixation Using Iliac Screws for the Complex Lumbo-sacral Fractures  

Rhee, Woo-Tack (Department of Neurosurgery Gangneung Asan Hospital College of Medicine Ulsan University)
You, Seung-Hoon (Department of Neurosurgery Gangneung Asan Hospital College of Medicine Ulsan University)
Jang, Yeon-Gyu (Department of Neurosurgery Gangneung Asan Hospital College of Medicine Ulsan University)
Lee, Sang-Youl (Department of Neurosurgery Gangneung Asan Hospital College of Medicine Ulsan University)
Publication Information
Journal of Korean Neurosurgical Society / v.42, no.6, 2007 , pp. 495-498 More about this Journal
Abstract
Fractures of lumbo-sacral junction involving bilateral sacral wings are rare. Posterior lumbo-sacral fixation does not always provide with sufficient stability in such cases. Various augmentation techniques including divergent sacral ala screws, S2 pedicle screws and Galveston rods have been reported to improve lumbo-sacral stabilization. Galveston technique using iliac bones would be the best surgical approach especially in patients with bilateral comminuted sacral fractures. However, original Galveston surgery is technically demanding and bending rods into the appropriate alignment is time consuming. We present a patient with unstable lumbo-sacral junction fractures and comminuted U-shaped sacral fractures treated by lumbo-sacro-pelvic fixation using iliac screws and discuss about the advantages of the iliac screws over the rod system of Galveston technique.
Keywords
Iliac screw; U-shped sacral fracture; Lumbo-sacro-pelvic fixation;
Citations & Related Records

Times Cited By Web Of Science : 4  (Related Records In Web of Science)
연도 인용수 순위
  • Reference
1 Leong JC, Lu WW, Zheng Y, Zhu Q, Zhong S : Comparison of the strengths of lumbosacral fixation achieved with techniques using one and two triangulated sacral screws. Spine 23 : 2289-2294, 1998   DOI   ScienceOn
2 Roy-Camille R, Saillant G, Gagna G, Mazel C : Transverse fracture of the upper sacrum. Suicidal jumper's fracture. Spine 10 : 838-845, 1985   DOI
3 Pelle MW, Lenke LG, Bridwell KH, Sides B : Comparison of pelvic fixation technique in neuromuscular spinal deformity correction : Galveston rod versus iliac and lumbosacral screws. Spine 31 : 2392- 2398, 2006   DOI   ScienceOn
4 Tsuchiya K, Bridwell KH, Kuklo TR, Lenke LG, Baldus C : Minimum 5-year analysis of L5-S1 fusion using sacropelvic fixation (bilateral S1 and iliac screws) for spinal deformity. Spine 31 : 303-308, 2006   DOI   ScienceOn
5 Stovall DO Jr, Goodrich JA, Lundy D, Standard SC, Joe C, Preston CD : Sacral fixation technique in lumbosacral fusion. Spine 22 : 32- 37, 1997   DOI   ScienceOn
6 Alegre GM, Gupta MC, Bay BK, Smith TS, Laubach JE : S1 screw bending moment with posterior spinal instrumentation across the lumbosacral junction after unilateral iliac crest harvest. Spine 26 : 1950-1955, 2001   DOI   ScienceOn
7 Nork SE, Jones CB, Harding SP, Mirza SK, Routt ML Jr : Percutaneous stabilization of U-shaped sacral fractures using iliosacral screws : technique and early results. J Orthop Trauma 15 : 238-246, 2001   DOI   ScienceOn
8 Denis F, Davis S, Comfort T : Sacral fractures : an important problem. retrospective analysis of 236 cases. Clin Orthop 227 : 67-81, 1988
9 Kuklo TR, Bridwell KH, Lewis SJ, Baldus C, Blanke K, Iffrig TM, et al : Minimum 2-year analysis of sacropelvic fixation and L5-S1 fusion using S1 and iliac screws. Spine 26 : 1976-1983, 2001   DOI   ScienceOn
10 Allen BL Jr, Ferguson RL : The Galveston technique of L-rod instrumentation of the scoliotic spine. Spine 7 : 276-284, 1982   DOI
11 McGee AM, Bache CE, Spilsbury J, Marks DS, Stirling AJ, Thompson AG : A simplified Galveston technique for the stabilization of pathological fractures of the sacrum. Eur Spine J 9 : 451-454, 2000   DOI