19 Harley St, London, W1G 9QJ, UK

Stand-alone anterior interbody fusion for substitution of iliac fixation in lengthy spinal fixation constructs.

Related Articles

Stand-alone anterior interbody fusion for substitution of iliac fixation in lengthy spinal fixation constructs.

Arch Orthop Trauma Surg. 2018 Apr;138(four):479-486

Authors: Khashan M, Camisa W, Berven S, Leasure J

INTRODUCTION: Using distal sacral anchorage solely, in lengthy spinal fusions, might result in substantial issues. Extending the fixation all the way down to the ilium and the addition of anterior column help are each used to facilitate assemble stability and enhance fusion charges. Within the present research, we aimed to find out whether or not supplementation of lengthy thoracolumbar fixation constructs with stand-alone anterior interbody fusion (ALIF) cage with embedded screws can eradicate the biomechanical want for iliac screws fixation biomechanically.
METHODS: Seven lumbopelvic human cadavers (L1-full pelvis) had been used. All specimens had been examined with the next fixation constructs: bilateral L1-S1, bilateral L1-S1 with unilateral iliac screw, and bilateral L1-S1 with bilateral iliac screw. The three constructs had been examined with and with out the addition of stand-alone ALIF cage. We evaluated the multidirectional rigidity and the axial S1 screw pressure.
RESULTS: The addition of an ALIF cage solely didn’t have an effect on rigidity and resulted in combined S1 screw pressure outcomes. One iliac screw was superior to ALIF in rigidity and inferior in S1 screws pressure. Bilateral iliac fixation produced related rigidity and decrease S1 screws pressure than unilateral iliac fixation. When ALIF was mixed with bilateral iliac screws, it resulted in equal rigidity and decrease S1 screws pressure.
CONCLUSION: Our outcomes don’t help stand-alone ALIF cage as an alternative choice to iliac fixation in in lengthy posterior lumbosacral fusion. They do help the usage of stand-alone ALIF for the supplementation of bilateral iliac fixation in lengthy lumbosacral fusions.

PMID: 29288274 [PubMed – indexed for MEDLINE]

Share to care...

Share on facebook
Share on twitter
Share on pinterest
Share on google
Share on linkedin
Share on skype

What we do...

The Harley Street Hospital


What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

We treat all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

What our patients say about us ......

Severe Sciatica

*Mr Akmal was able to see the distress I was in from the moment I walked into the consulting room. The procedure was 100% successful

Read More »

Patient with bulging disc

Staff are very polite and the surgeon was charming. Felt confident throughout diagnosis and treatment. Staff both helpful, good natured and understanding. I am improving all the

Read More »