Biomechanical effects of the extent of sacrectomy on the stability of lumbo-iliac reconstruction using iliac screw techniques: What level of sacrectomy requires the bilateral dual iliac screw technique?

Clinical Biomechanics
Bin-Sheng YuWilliam W Lu

Abstract

Although both single and dual iliac screw techniques are used in spino-pelvic reconstruction following sacrectomy for treating sacral tumors, the basis for choosing between the two techniques for different instability types remains undetermined. The purpose of this study was to evaluate the effects of the extent of sacrectomy on the stability of the lumbo-iliac fixation construct using single and dual iliac screw techniques. Nine human L2-pelvic specimens were tested for their intact condition simulated by L3-L5 pedicle screw fixation. Sequential partial sacrectomies and L3-iliac fixation using bilateral single and dual iliac screws were conducted on the same specimens as follows: under-S1 sacrectomy+single screw, under-½S1 sacrectomy+single screw, one-side sacroiliac joint resection+single screw, total sacrectomy+single screw, and total sacrectomy+dual screw. Biomechanical testing was performed on a material testing machine for evaluating the stiffness of the L3-iliac fixation construct in compression and torsion. Single iliac screw technique was found to effectively restore the local stability in under-½S1 sacrectomy. However, it could not provide adequate stability for further resection of one-side sacroiliac joint in torsio...Continue Reading

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Citations

Oct 23, 2014·Journal of Craniovertebral Junction and Spine·Hernando Raphael Alvis-MirandaLuis Rafael Moscote-Salazar
Apr 29, 2014·Neurological Research·Peter Paul VargaAron Lazary
Jun 19, 2012·Clinical Biomechanics·Rui ZhuAntonius Rohlmann
Sep 14, 2018·Acta ortopedica brasileira·Thiego Pedro Freitas AraújoTarcísio Eloy Pessoa de Barros
Nov 2, 2018·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·Mauro Costa Morais Tavares JuniorOlavo Biraghi Letaif
Aug 21, 2013·Critical Reviews in Food Science and Nutrition·Rosalie A M Dhonukshe-RuttenPieter Van't Veer
May 10, 2012·Neurosurgery·Michelle J ClarkeJean-Paul Wolinsky
Jul 14, 2019·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·Anouar BourghliIbrahim Obeid
Feb 17, 2021·The Spine Journal : Official Journal of the North American Spine Society·Zach PenningtonDaniel M Sciubba

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