Obstructed spinopelvic fixation within the setting of a triangular titanium sacroiliac fusion implant: a case description.
J Backbone Surg. 2017 Dec;three(four):732-735
Authors: Laratta JL, Lin JD, Shillingford JN, Hardy NE, Reddy H, Lehman RA
Reaching lumbosacral fusion via spinopelvic fixation is a vital and difficult facet of spinal deformity surgical procedure. Quite a few instrumentation strategies can be found, with iliac screws and S2-alar-iliac (SRAI) screws being mostly used as we speak. Nonetheless, the growing reputation of minimally invasive sacroiliac (SI) fusion as a typical process carried out for SI joint ache presents a definite problem in advanced grownup deformity circumstances requiring iliac screw fixation. We report a case of a 71-year-old feminine with a longstanding historical past of spinal deformity status-post T11-L5 fusion and a subsequent right-sided SI joint fusion who offered with sagittal imbalance. The SI joint fusion implant obstructed the pathway for spinopelvic fixation. Spinopelvic fixation was achieved by burring a pathway via the SI joint implant. The growing reputation of minimally invasive SI fusion as a typical process carried out for SI joint ache presents a definite problem in advanced grownup deformity circumstances requiring iliac screw fixation. That is the primary report within the literature describing a method for spinopelvic fixation within the setting of screw obstruction as a consequence of an instrumented SI joint.
PMID: 29354757 [PubMed]