A novel technique for sacropelvic fixation using image-guided sacroiliac screws: A case series and biomechanical study

Kee D. Kim, Huy Duong, Aditya Muzumdar, Mir Hussain, Mark Moldavsky, Bandon Bucklen

Research output: Contribution to journalArticle

Abstract

In this study, we sought to assess the safety and accuracy of sacropelvic fixation performed with image-guided sacroiliac screw placement using postoperative computed tomography and X-rays. The sacroiliac screws were placed with navigation in five patients. Intact specimens were mounted onto a six-degrees-of-freedom spine motion simulator. Long lumbosacral constructs using bilateral sacroiliac screws and bilateral S1 pedicle and iliac screws were tested in seven cadaveric spines. Nine sacroiliac screws were well-placed under an image guidance system (IGS); one was placed poorly without IGS with no symptoms. Both fixation techniques significantly reduced range of motion (P < 0.05) at L5–S1. The research concluded that rigid lumbosacral fixation can be achieved with sacroiliac screws, and image guidance improves its safety and accuracy. This new technique of image-guided sacroiliac screw insertion should prove useful in many types of fusion to the sacrum, particularly for patients with poor bone quality, complicated anatomy, infection, previous failed fusion and iliac harvesting.

Original languageEnglish (US)
Pages (from-to)208-216
Number of pages9
JournalJournal of Biomedical Research
Volume33
Issue number3
DOIs
StatePublished - Jan 1 2019

Keywords

  • Computer-assisted surgery
  • Image-guided surgery
  • Lumbosacral fixation
  • Sacroiliac screw
  • Sacropelvic fixation

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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