Evolving concepts in pelvic fixation in adult spinal deformity surgery

Q4 Medicine

Seminars in Spine Surgery Pub Date : 2023-12-01 DOI:10.1016/j.semss.2023.101060

Jay D. Turner , Alexander J. Schupper , Praveen V. Mummaneni , Juan S. Uribe , Robert K. Eastlack , Gregory M. Mundis Jr. , Peter G. Passias , Joseph D. DiDomenico , S. Harrison Farber , Mohammed A.R. Soliman , Christopher I. Shaffrey , Eric O. Klineberg , Alan H. Daniels , Thomas J. Buell , Douglas C. Burton , Jeffrey L. Gum , Lawrence G. Lenke , Shay Bess , Jeffrey P. Mullin

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引用次数: 0

Abstract

Long-segment adult spinal deformity (ASD) constructs carry a high risk of mechanical complications. Pelvic fixation was introduced to improve distal construct mechanics and has since become the standard for long constructs spanning the lumbosacral junction. Pelvic fixation strategies have evolved substantially over the years. Numerous techniques now use a variety of entry points, screw trajectories, and construct configurations. We review the various strategies for pelvic fixation in ASD in a systematic review of the literature and update the techniques employed in the International Spine Study Group Complex Adult Deformity Surgery database.

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成人脊柱畸形手术中骨盆固定概念的演变

长段成人脊柱畸形（ASD）结构具有较高的机械并发症风险。骨盆固定的引入是为了改善远端结构的机械性，自此成为跨越腰骶交界处的长结构的标准。多年来，骨盆固定策略有了长足的发展。现在，许多技术都采用了不同的入路点、螺钉轨迹和结构配置。我们通过系统性的文献综述回顾了 ASD 骨盆固定的各种策略，并更新了国际脊柱研究组复杂成人畸形手术数据库中采用的技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Spine Surgery Medicine-Surgery

CiteScore

0.50

自引率

0.00%

发文量

审稿时长

2 days

期刊介绍： Seminars in Spine Surgery is a continuing source of current, clinical information for practicing surgeons. Under the direction of a specially selected guest editor, each issue addresses a single topic in the management and care of patients. Topics covered in each issue include basic anatomy, pathophysiology, clinical presentation, management options and follow-up of the condition under consideration. The journal also features "Spinescope," a special section providing summaries of articles from other journals that are of relevance to the understanding of ongoing research related to the treatment of spinal disorders.