三角形骨盆固定治疗成人脊柱畸形：技术说明和初步结果。

IF 2.3 3区医学 Q2 ORTHOPEDICS

Orthopaedics & Traumatology-Surgery & Research Pub Date : 2025-05-01 DOI:10.1016/j.otsr.2024.104081

Solène Prost , Sébastien Pesenti , Stéphane Bourret , Romain Ambrosino , Stéphane Fuentes , Jean-Charles Le Huec , Benjamin Blondel

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引用次数: 0

摘要

引言和假设：在治疗包括腰骶交界处在内的成人脊柱畸形时，下固定椎体的最佳选择仍不清楚。因此可以停止S1的固定，也可以停止更低的固定（S2AI或髂螺钉），以减少植入物拔出的风险。在这种情况下，机械恳求可导致骶髂关节的二次退化。技术和结果：基于骨盆外伤的三角形骨盆固定，可以采用S1螺钉、髂螺钉和骶髂植入物联合的后路固定。讨论：我们在这里描述了在透视引导下的“基岩”固定的手术技术和15例患者的初步结果。证据等级：四级。

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Triangular pelvic fixation in the management of adult spinal deformities: technical note and preliminary results

Introduction and hypothesis

Optimal choice of the lower instrumented vertebra in the management of adult spinal deformity that include lumbosacral junction is still unclear. It is therefore possible to stop fixation in S1 but also lower (S2AI or iliac screws) in order to reduce the risk of implants pullout. In such situations, mechanical solicitations can lead to secondary degradation of sacro-iliac joints.

Technique and results

Based on triangular pelvic fixation described for pelvic trauma, a posterior only fixation that combine S1 screws, iliac screws and sacro-iliac implants can be performed.

Discussion

We are describing here the operative technique of this « bedrock » fixation under fluoroscopic guidance and its preliminary results about 15 patients.

Level of evidence

IV.

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来源期刊

Orthopaedics & Traumatology-Surgery & Research 医学-外科

CiteScore

5.10

自引率

26.10%

发文量

329

审稿时长

12.5 weeks

期刊介绍： Orthopaedics & Traumatology: Surgery & Research (OTSR) publishes original scientific work in English related to all domains of orthopaedics. Original articles, Reviews, Technical notes and Concise follow-up of a former OTSR study are published in English in electronic form only and indexed in the main international databases.