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Change in pelvic incidence due to sacral stress fracture following multilevel instrumented fusion – Lumbar Fusion

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The article discusses a case of a patient who underwent a Th11-sacrum instrumented fusion for adult spinal deformity (ASD) and later developed a sacral insufficiency fracture. This rare complication led to an increase in pelvic incidence (PI) from 71° to 103° between the two surgical procedures. The patient eventually underwent a revision surgery to address proximal junctional pain caused by localized kyphosis of the rods. The study highlights the importance of monitoring for potential complications following multilevel-instrumented fusion in patients with ASD

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

Multilevel-instrumented fusion is a common surgical technique used to treat adult spinal deformity (ASD), but it can occasionally lead to rare complications such as sacral insufficiency fractures. The impact of sacral fractures on spinopelvic parameters, particularly pelvic incidence (PI), has not been thoroughly investigated even though they have been documented in the literature. Here, we present a case of a patient who underwent a Th11-sacrum instrumented fusion for ASD. She underwent a…

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BMJ Case Rep. 2024 Mar 12;17(3):e256319. doi: 10.1136/bcr-2023-256319.ABSTRACTMultilevel-instrumented fusion is a common surgical technique used to treat adult spinal deformity (ASD), but it can occasionally lead to rare complications such as sacral insufficiency fractures. The impact of sacral fractures on spinopelvic parameters, particularly pelvic incidence (PI), has not been thoroughly investigated even though they have,

BMJ Case Rep. 2024 Mar 12;17(3):e256319. doi: 10.1136/bcr-2023-256319.

ABSTRACT

Multilevel-instrumented fusion is a common surgical technique used to treat adult spinal deformity (ASD), but it can occasionally lead to rare complications such as sacral insufficiency fractures. The impact of sacral fractures on spinopelvic parameters, particularly pelvic incidence (PI), has not been thoroughly investigated even though they have been documented in the literature. Here, we present a case of a patient who underwent a Th11-sacrum instrumented fusion for ASD. She underwent a revision surgery 18 months after the first procedure to treat proximal junctional pain brought on by a localised kyphosis of the rods. An asymptomatic sacral fracture was discovered during the radiological evaluation: the PI had increased from 71° to 103° between the 2 surgical procedures.

PMID:38471702 | PMC:PMC10936504 | DOI:10.1136/bcr-2023-256319

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Change in pelvic incidence due to sacral stress fracture following multilevel instrumented fusion

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BMJ Case Rep. 2024 Mar 12;17(3):e256319. doi: 10.1136/bcr-2023-256319.ABSTRACTMultilevel-instrumented fusion is a common surgical technique used to treat adult spinal deformity (ASD), but it can occasionally lead to rare complications such as sacral insufficiency fractures. The impact of sacral fractures on spinopelvic parameters, particularly pelvic incidence (PI), has not been thoroughly investigated even though they have

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