Direct Iliac Screw Vs Sacral-2-Alar-Iliac Screws Technique for Sacropelvic Fixation: Technical Nuances and a Review of the Literature

Overview

Journal Int J Spine Surg

Date 2023 Apr 13

PMID 37055178

Authors

Ahmed Habib

Nallammai Muthiah

Ali Alattar

Meagan Hoppe

Nitin Agarwal

Nima Alan

David Kojo Hamilton

Alp Ozpinar

Affiliations

Soon will be listed here.

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.

Citing Articles

Implantation of S1AIS has priority as a sacroiliac joint fixation technique.

Zhao K, Wang Y, Li D, Ding Y, Yang Y, Yin Q Eur Spine J. 2024; 33(9):3567-3575.

PMID: 39073459 DOI: 10.1007/s00586-024-08423-2.

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