Minimally invasive iliac screw fixation in treating painful metastatic lumbosacral deformity: a technique description and clinical results

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
Gabriel LiuHee-Kit Wong

Abstract

Pelvic fixation via iliac screws is a crucial technique in stabilizing metastatic lumbosacral deformity. MIS iliac screw fixation avoids complications of an open approach and is a viable palliative option in treating patients with painful instability and advanced disease, unsuited for major reconstruction. In this paper we describe the use of MIS iliac screw fixation in treatment of painful metastatic LSJ deformity, highlighting our treatment rationale, selection criteria, technical experience and outcomes. Five patients with lumbosacral metastatic deformity who underwent MIS lumbopelvic stabilization using iliac screws were prospectively studied. Patients had severe axial back pain in erect posture with significant resolution when supine. All patients had advanced disease with unfavorable tumor scores for major spinal reconstruction. Mean cohort age was 62 years. Median pre-op SIN and Tokuhashi scores were 13 and 9, respectively. All patients were instrumented successfully without conversion to open technique. Mean preoperative and postoperative Cobb angle was 11° and 5.4°, respectively. There were no neurological deficits or wound complications postop. Postoperative CT scans showed no iliac screw and sacroiliac joint bony vio...Continue Reading

References

Aug 1, 1992·Spine·D H McCordP C McAfee
Oct 19, 1994·JAMA : the Journal of the American Medical Association·A D Aaron
Jan 1, 2000·Journal of Neurosurgery·R J Jackson, Z L Gokaslan
Nov 1, 2000·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·A M McGeeA G Thompson
Nov 20, 2002·Spine·Nathan H LebwohlTheodore A Wagner
Sep 29, 2004·Neurosurgery Clinics of North America·Richard G Perrin, Adrian W Laxton
Sep 29, 2004·Neurosurgery Clinics of North America·Adam S Wu, Daryl R Fourney
Oct 3, 2006·Neurosurgery Clinics of North America·Richard G FesslerMick J Perez-Cruet
Jul 19, 2007·Journal of Neurosurgery. Spine·Shunsuke FujibayashiTakashi Nakamura
Aug 5, 2008·Neurosurgical Focus·Michael Y WangPraveen V Mummaneni
Nov 17, 2009·Spine·John E TisAnton E Dmitriev
Feb 4, 2010·Journal of Spinal Disorders & Techniques·Michael D KastenBrenda Priest
Nov 30, 2010·Journal of Korean Neurosurgical Society·Seung-Jae HyunYoung-Bae Kim
Jan 20, 2011·Spine·Christopher T MartinKhaled M Kebaish
Oct 3, 2012·Clinical Spine Surgery : a Spine Publication·Michael Y WangJonathan D Sherman
Oct 24, 2012·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·Francis H ShenVincent M Arlet
Apr 9, 2013·Neurosurgery Clinics of North America·Praveen V MummaneniGregory M Mundis
Oct 18, 2014·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·Umit Ozgur GulerUNKNOWN European Spine Study Group

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