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
{"title":"Evolving concepts in pelvic fixation in adult spinal deformity surgery","authors":"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","doi":"10.1016/j.semss.2023.101060","DOIUrl":null,"url":null,"abstract":"<div><p>Long-segment adult spinal deformity<span> (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.</span></p></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"35 4","pages":"Article 101060"},"PeriodicalIF":0.0000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Seminars in Spine Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1040738323000540","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
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.
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.
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