Pelvic Fixation Technique Using the Ilio-Sacral Screw for 173 Neuromuscular Scoliosis Patients
Bibliographic Data
| ID | 15714890 |
|---|---|
| Authors | Mathilde Gaumé (0000-0003-3070-0545, Université Paris Cité), Elie Saghbiny (Sorbonne Université), Lou Richard (Sorbonne Université), Clélia Thouement (Sorbonne Université), Raphaël Vialle (0000-0002-5339-140X, Sorbonne Université, corresponding author), Lotfi Miladi (0000-0002-4691-4698, Université Paris Cité) |
| Year | 2024 |
| Volume | 11 |
| Issue | 2 |
| Pages | 199-199 |
| Publication date | 2024-02-04 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children11020199 |
| PMID | 38397311 |
| OpenAlex | W4391541166 |
| Language | EN |
| Citations received | 1 |
Pelvic fixation remains one of the main challenging issues in non-ambulatory neuromuscular scoliosis (NMS) patients, between clinical effectiveness and a high complication rate. The objective of this multicenter and retrospective study was to evaluate the outcomes of a technique that was applied to treat 173 NMS patients. The technique is not well-known but promising; it uses the ilio-sacral screw, combined with either the posterior spinal fusion or fusionless bipolar technique, with a minimum follow-up of two years. The mean operative age of the patients was 13 ± 7 years. The mean preoperative main coronal curve was 64° and improved by a mean of -39° postoperatively. The mean preoperative pelvic obliquity was 23°, which improved by a mean of -14° postoperatively. No decrease in the frontal or sagittal correction was observed during the last follow-up. The sitting posture improved in all cases. Twenty-nine patients (17%) had a postoperative infection: twenty-six were treated with local debridement and antibiotics, and three required hardware removal. Fourteen mechanical complications (8%) occurred: screw malposition ( n = 6), skin prominence ( n = 1), and connector failure ( n = 1). This type of surgery is associated with a high risk for infection. Comorbidities, rather than the surgery itself, were the main risk factors that led to complications. The ilio-sacral screw was reliable and effective in correcting pelvic obliquity in NMS patients. The introduction of intraoperative navigation should minimize the risk of screw misplacement and facilitate revision or primary fixation
Ambulatory · Complication · Coronal plane · Fixation (population genetics · Pelvis · Radiology · Sagittal plane · Scoliosis · Medicine · Pelvic and Acetabular Injuries · Scoliosis diagnosis and treatment · Spinal Fractures and Fixation Techniques · Surgery
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |