Spinopelvic fixation: indications, anatomical and biomechanical aspects and historical development of methods

A review of the literature on performing spinopelvic fixation for injuries and various pathologies of the spine and pelvis is presented. The review is analytical in nature and was carried out using databases of medical literature and search resources of PubMed and eLibrary. The following aspects are highlighted: the relevance and indications for performing spinopelvic fixation and its anatomical and biomechanical features. The historical aspects of the development of methods for performing spinopelvic fixation are considered and structured. The analysis of various methods of spinopelvic fixation (using hooks, screw insertion into the S2 sacral wings, L-shaped Luque rods, distractors, transiliac rods, Jackson, Harrington and Galveston techniques) was carried out.  The features of surgical techniques, their advantages, disadvantages and complications are considered.

[1]  K. Kebaish,et al.  Sacropelvic Fixation: A Comprehensive Review. , 2019, Spine deformity.

[2]  L. Lenke,et al.  Sacropelvic Fixation: When, Why, How? , 2018, Neurosurgery clinics of North America.

[3]  Михаил Витальевич Михайловский,et al.  РЕЗУЛЬТАТЫ МНОГОЭТАПНОГО ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ СКОЛИОЗОВ I ДЕКАДЫ ЖИЗНИ С ПРИМЕНЕНИЕМ ИНСТРУМЕНТАРИЯ VEPTR , 2017 .

[4]  S. Kolesov,et al.  SURGICAL TREATMENT OF PATIENTS WITH CAUDAL REGRESSION SYNDROME , 2016 .

[5]  M. Takemitsu,et al.  Lumbosacral fixation using sacroiliac buttress screws: a modification to the Jackson technique with intrasacral rods , 2014, Scoliosis.

[6]  H. Kim,et al.  Lumbosacral Fixation Using the Diagonal S2 Screw for Long Fusion in Degenerative Lumbar Deformity: Technical Note Involving 13 Cases , 2013, Clinics in orthopedic surgery.

[7]  R. Vialle,et al.  Correction of pelvic obliquity in neuromuscular spinal deformities using the “T construct”: results and complications in a prospective series of 60 patients , 2013, European Spine Journal.

[8]  R. Dayer,et al.  Pelvic fixation for neuromuscular scoliosis deformity correction , 2012, Current Reviews in Musculoskeletal Medicine.

[9]  Clifford B. Jones,et al.  Can Lumbopelvic Fixation Salvage Unstable Complex Sacral Fractures? , 2012, Clinical orthopaedics and related research.

[10]  R. Vialle,et al.  The “T-construct” for spinopelvic fixation in neuromuscular spinal deformities. Preliminary results of a prospective series of 15 patients , 2011, Child's Nervous System.

[11]  D. Polly,et al.  Spinopelvic fixation in deformity: a review. , 2007, Neurosurgery clinics of North America.

[12]  J. Chapman,et al.  Decompression and Lumbopelvic Fixation for Sacral Fracture-Dislocations With Spino-pelvic Dissociation , 2006, Journal of orthopaedic trauma.

[13]  Jung-Hee Lee,et al.  Posterior Vertebral Column Resection in Fixed Lumbosacral Deformity , 2005, Spine.

[14]  W. Choi,et al.  Posterior Vertebral Column Resection for Severe Rigid Scoliosis , 2005, Spine.

[15]  P. Newton,et al.  Biomechanical Comparison of Lumbosacral Fixation Using Luque-Galveston and Colorado II Sacropelvic Fixation: Advantage of Using Locked Proximal Fixation , 2005, Spine.

[16]  H. Shufflebarger,et al.  High-Grade Isthmic Dysplastic Spondylolisthesis: Monosegmental Surgical Treatment , 2005, Spine.

[17]  J. Kostuik.  Spinopelvic fixation. , 2005, Neurology India.

[18]  J. Ouellet,et al.  Kyphectomy in myelomeningocele with a modified Dunn-McCarthy technique followed by an anterior inlayed strut graft , 2004, European Spine Journal.

[19]  K. Bridwell,et al.  Biomechanical Evaluation of Lumbosacral Reconstruction Techniques for Spondylolisthesis: An In Vitro Porcine Model , 2002, Spine.

[20]  N. Lebwohl,et al.  Biomechanical Comparison of Lumbosacral Fixation Techniques in a Calf Spine Model , 2002, Spine.

[21]  V. Deviren,et al.  Outcome and Complications of Long Fusions to the Sacrum in Adult Spine Deformity: Luque-Galveston, Combined Iliac and Sacral Screws, and Sacral Fixation , 2002, Spine.

[22]  Kevin A. Thomas,et al.  Analysis of the STIF Technique for Spino-Pelvic Fixation: Clinical Results in 19 Patients with Neuromuscular Scoliosis , 2000, Journal of pediatric orthopedics.

[23]  L. Lenke,et al.  Complications in the surgical treatment of pediatric high-grade, isthmic dysplastic spondylolisthesis. A comparison of three surgical approaches. , 1999, Spine.

[24]  M. T. Hresko,et al.  Lumbosacral fusion in children and adolescents using the modified sacral bar technique. , 1999, Clinical orthopaedics and related research.

[25]  J. Kostuik,et al.  Extension to the sacrum of previous adolescent scoliosis fusions in adult life. , 1999, Clinical orthopaedics and related research.

[26]  J. Leong,et al.  Comparison of the Strengths of Lumbosacral Fixation Achieved With Techniques Using One and Two Triangulated Sacral Screws , 1998, Spine.

[27]  Brian G Smith,et al.  Results and Morbidity in a Consecutive Series of Patients Undergoing Spinal Fusion for Neuromuscular Scoliosis , 1998, Spine.

[28]  D. Stovall,et al.  Sacral Fixation Technique in Lumbosacral Fusion , 1997, Spine.

[29]  J. Lotz,et al.  Biomechanical Analysis of Lumbosacral Fixation , 1996, Spine.

[30]  Serena S. Hu,et al.  Reduction of High-grade Spondylolisthesis Using Edwards Instrumentation , 1996, Spine.

[31]  W. Warner,et al.  Comparison of Two Instrumentation Techniques in Treatment of Lumbar Kyphosis in Myelodysplasia , 1993, Journal of pediatric orthopedics.

[32]  N. Boos,et al.  Treatment of Severe Spondylolisthesis by Reduction and Pedicular Fixation: A 4–6‐Year Follow‐Up Study , 1993, Spine.

[33]  R. Jackson,et al.  The Iliac Buttress: A Computed Tomographic Study of Sacral Anatomy , 1993, Spine.

[34]  B. Cunningham,et al.  Biomechanical Analysis of Lumbosacral Fixation , 1992, Spine.

[35]  S. Koop,et al.  Luque-Galveston procedure for correction and stabilization of neuromuscular scoliosis and pelvic obliquity: a review of 68 patients. , 1991, Journal of spinal disorders.

[36]  O. Boachie-Adjei,et al.  Surgical treatment of neuropathic spinal arthropathy. , 1991, Journal of spinal disorders.

[37]  J. Massie,et al.  Anatomic Consideration for Sacral Screw Placement , 1991, Spine.

[38]  J. Camp,et al.  Immediate Complications of Cotrel‐Dubousset Instrumentation to the Sacro‐Pelvis A Clinical and Biomechanical Study , 1990, Spine.

[39]  R. Winter,et al.  Long Scoliosis Fusion to the Sacrum in Adults with Nonparalytic Scoliosis: An Improved Method , 1990, Spine.

[40]  S. Koop,et al.  Management of neuromuscular spinal deformities with Luque segmental instrumentation. , 1989, The Journal of bone and joint surgery. American volume.

[41]  F. L. McCullough,et al.  Luque Fixation to the Sacral Ala Using the Dunn‐McCarthy Modification , 1989, Spine.

[42]  T. Renshaw,et al.  Spinal fusion augmented by luque-rod segmental instrumentation for neuromuscular scoliosis. , 1989, The Journal of bone and joint surgery. American volume.

[43]  B. Allen,et al.  The Galveston experience with L-rod instrumentation for adolescent idiopathic scoliosis. , 1988, Clinical orthopaedics and related research.

[44]  J Dubousset,et al.  NEW UNIVERSAL INSTRUMENTATION IN SPINAL SURGERY , 1988, Clinical orthopaedics and related research.

[45]  R. Winter,et al.  Fusion to the Sacrum for Nonparalytic Scoliosis in the Adult , 1986, Spine.

[46]  J. Kostuik,et al.  Techniques of internal fixation for degenerative conditions of the lumbar spine. , 1986, Clinical orthopaedics and related research.

[47]  B. T. Field,et al.  A biomechanical study of intrapeduncular screw fixation in the lumbosacral spine. , 1986, Clinical orthopaedics and related research.

[48]  M. Schendel,et al.  Comparison of lumbosacral fixation devices. , 1986, Clinical orthopaedics and related research.

[49]  M. Asher,et al.  Anthropometric studies of the human sacrum relating to dorsal transsacral implant designs. , 1986, Clinical orthopaedics and related research.

[50]  E. Luque.  Interpeduncular segmental fixation. , 1986, Clinical orthopaedics and related research.

[51]  R. Jacobs,et al.  Internal fixation in lumbosacral spine fusion. A biomechanical and clinical study. , 1986, Clinical orthopaedics and related research.

[52]  B. Allen,et al.  The Galveston Technique of Pelvic Fixation with L-Rod Instrumentation of the Spine , 1984, Spine.

[53]  J. Kostuik,et al.  Spinal Fusions to the Sacrum in Adults with Scoliosis , 1983, Spine.

[54]  E R Luque,et al.  The Anatomic Basis and Development of Segmental Spinal Instrumentation , 1982, Spine.

[55]  B. Allen,et al.  The Galveston Technique for L Rod Instrumentation of the Scoliotic Spine , 1982, Spine.

[56]  E R Luque,et al.  Segmental spinal instrumentation for correction of scoliosis. , 1982, Clinical orthopaedics and related research.

[57]  P. R. Harrington,et al.  Treatment of scoliosis. Correction and internal fixation by spine instrumentation. , 1962, The Journal of bone and joint surgery. American volume.