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Evolving concepts in pelvic fixation in adult spinal deformity surgery

  • Jay D. Turner
  • , Alexander J. Schupper
  • , Praveen V. Mummaneni
  • , Juan S. Uribe
  • , Robert K. Eastlack
  • , Gregory M. Mundis
  • , 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

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

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.

Original languageEnglish
Article number101060
JournalSeminars in Spine Surgery
Volume35
Issue number4
DOIs
StatePublished - Dec 2023
Externally publishedYes

Keywords

  • Complex adult deformity surgery
  • Distal fixation
  • International Spine Study Group
  • Junction
  • Lumbosacral fixation
  • Sacroiliac fusion
  • Sacroiliac joint
  • Trajectory

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