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Intrasacral rod fixation for pediatric lumbopelvic fusion.
- Source :
-
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society [Eur Spine J] 2014 Jul; Vol. 23 Suppl 4, pp. S463-7. Date of Electronic Publication: 2014 May 16. - Publication Year :
- 2014
-
Abstract
- Purpose: This paper reports the authors' 19 years experience with pediatric intrasacral rod fixation.<br />Methods: After insertion of two cannulated screws in S1 with and an original template guiding them into the anterior third of the endplate, two short fusion rods were inserted into the sacrum according to Jackson's technique distally to S3. In neuromuscular scoliosis, pelvic obliquity was reduced by connecting the proximal and distal constructs, distraction or compression, and in situ rod bending. In children with high-grade spondylolisthesis, lumbosacral kyphosis was reduced by rotation of the sacrum and in situ bending.<br />Results: There were no direct neurological or vascular injuries. The main complication was infection (7%). No pseudarthrosis or significant loss of correction at the lumbosacral junction was observed during follow-up.<br />Conclusions: Intrasacral rod fixation appears to be safe and reliable for lumbopelvic fusion in pediatric patients.
- Subjects :
- Adolescent
Bone Nails
Child
Follow-Up Studies
Humans
Internal Fixators
Kyphosis diagnostic imaging
Kyphosis surgery
Lumbar Vertebrae diagnostic imaging
Pediatrics
Radiography
Rotation
Sacrum diagnostic imaging
Scoliosis diagnostic imaging
Spinal Fusion instrumentation
Spondylolisthesis surgery
Lumbar Vertebrae surgery
Sacrum surgery
Scoliosis surgery
Spinal Fusion methods
Subjects
Details
- Language :
- English
- ISSN :
- 1432-0932
- Volume :
- 23 Suppl 4
- Database :
- MEDLINE
- Journal :
- European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
- Publication Type :
- Academic Journal
- Accession number :
- 24831125
- Full Text :
- https://doi.org/10.1007/s00586-014-3344-5