Abstract
Iliac fixation for spinal constructs has been utilized since the initial description of the Galveston technique by Allen and Ferguson in 1982 [2]. Utilization in trauma constructs has also been well described for a variety of injury patterns including lumbopelvic dislocations and fracture dislocations [7], sacral fractures [8], and low lumbar burst fractures [9]. The key indication for placement of an iliac screw for trauma is the identification of the need for an additional point of fixation in order to assure postoperative stability. This may necessitate two screws placed ipsilaterally for rotational stability as one screw, particularly if smaller in diameter, may toggle and loosen during early weight bearing [1]. Complications of iliac screw placement for trauma involve late pain from implant prominence and wound complications related to the dissection [3].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Akesen B, Wu C, Mehbod AA, Sokolowski M, Transfeldt EE (2008) Revision of loosened iliac screws: a biomechanical study of longer and bigger screws. Spine 33(13):1423–1428
Allen BL Jr, Ferguson RL (1982) The Galveston technique for L rod instrumentation of the scoliotic spine. Spine 7(3):276–284
Bellabarba C, Schildhauer TA, Vaccaro AR, Chapman JR (2006) Complications associated with surgical stabilization of high-grade sacral fracture dislocations with spino-pelvic instability. Spine 31(11 Suppl):S80–S88, discussion S104
Haidukewych GJ, Kumar S, Prpa B (2003) Placement of half-pins for supra-acetabular external fixation: an anatomic study. Clin Orthop Relat Res (411):269–273
Korovessis PG, Magnissalis EA, Deligianni D (2006) Biomechanical evaluation of conventional internal contemporary spinal fixation techniques used for stabilization of complete sacroiliac joint separation: a 3-dimensional unilaterally isolated experimental stiffness study. Spine 31(25):E941–E951
Mouhsine E, Wettstein M, Schizas C, Borens O, Blanc CH, Leyvraz PF et al (2006) Modified triangular posterior osteosynthesis of unstable sacrum fracture. Eur Spine J 15(6):857–863
Schildhauer TA, Bellabarba C, Nork SE, Barei DP, Routt ML Jr, Chapman JR (2006) Decompression and lumbopelvic fixation for sacral fracture-dislocations with spino-pelvic dissociation. J Orthop Trauma 20(7):447–457
Schildhauer TA, Ledoux WR, Chapman JR, Henley MB, Tencer AF, Routt ML Jr (2003) Triangular osteosynthesis and iliosacral screw fixation for unstable sacral fractures: a cadaveric and biomechanical evaluation under cyclic loads. J Orthop Trauma 17(1):22–31
Wang MY, Ludwig SC, Anderson DG, Mummaneni PV (2008) Percutaneous iliac screw placement: description of a new minimally invasive technique. Neurosurg Focus 25(2):E17
Ziran BH, Wasan AD, Marks DM, Olson SA, Chapman MW (2007) Fluoroscopic imaging guides of the posterior pelvis pertaining to iliosacral screw placement. J Trauma 62(2):347–356, discussion 356
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Berlin Heidelberg
About this chapter
Cite this chapter
Morgan, R. (2010). Iliac Fixation in Trauma. In: Patel, V., Burger, E., Brown, C. (eds) Spine Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03694-1_31
Download citation
DOI: https://doi.org/10.1007/978-3-642-03694-1_31
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-03693-4
Online ISBN: 978-3-642-03694-1
eBook Packages: MedicineMedicine (R0)