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Sacral Screw Fixation

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Spine Trauma

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Abstract

Because of the difficulty in obtaining a fusion across the lumbosacral junction, special consideration must be given to obtain adequate sacral fixation. Options include anteromedial (pedicle) or anterolateral (alar) screws at the S1. Alternatively, screws can be placed in the S2 region, although these screws are only viewed as adjuncts to other points of sacral fixation. Bone quality, purchase of cortical bone, and screw length all influence the strength of a construct, with bicortical purchase in the S1 pedicle identified as the best option in multiple load-to-failure tests. Surgeons must remember, however, that the added fixation afforded with bicortical placement of screws must be balanced with the added risk of neurovascular injury.

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Authors and Affiliations

    Authors
    1. Todd McCall
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    2. Daniel Fassett
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    3. Andrew Dailey
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    Corresponding author

    Correspondence to Todd McCall .

    Editor information

    Editors and Affiliations

    1. Dept. Orthopaedics, University of Colorado, Denver, East 17th Avenue 12631, Aurora, 80045, Colorado, USA

      Vikas V. Patel

    2. Dept. Orthopaedics, University of Colorado, Denver, East 17th Avenue 12631, Aurora, 80045, Colorado, USA

      Evalina Burger

    3. Panorama Orthopedics and Spine Center, Golden Ridge Rd. 660, Golden, 80401, Colorado, USA

      Courtney W. Brown

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    © 2010 Springer Berlin Heidelberg

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    McCall, T., Fassett, D., Dailey, A. (2010). Sacral Screw Fixation. In: Patel, V., Burger, E., Brown, C. (eds) Spine Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03694-1_29

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    • DOI: https://doi.org/10.1007/978-3-642-03694-1_29

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    • Publisher Name: Springer, Berlin, Heidelberg

    • Print ISBN: 978-3-642-03693-4

    • Online ISBN: 978-3-642-03694-1

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