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Complications of Iliac Screw in Spinopelvic Fixation With Adult Spinal Deformity - Complications of Iliac Screw in Spinopelvic Fixation -

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2013, 20(3), pp.113-117
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

Whoan Jeang Kim 1 지용주 2 강종원 3 박건영 4 구제윤 1 권원조 2 Choy, Won-Sik ORD ID 2

1을지대학교
2을지대학교 의과대학 정형외과학교실
3을지대학교병원 정형외과학교실
4을지의과대학교

Accredited

ABSTRACT

Study Design: Retrospective study. Objectives: To evaluate clinical & radiologic significance about complications of spinopelvic fixation with iliac screw in patients with adult spinal deformity. Summary of Literature Review: Complications of iliac screw fixation in adult spinal deformity patients was obscure in spite of the good results of iliac screw fixation. Material and Methods: We analyzed 27 patients, followed over 1-year, with adult spinal deformity (lumbar degenerative kyphosis,degenerative lumbar scoliosis, flat back syndrome). The study was done for complications of iliac screw fixation by clinical and radiological evaluations. Results: Post-operative iliac screw prominence were 15 cases (55.5%) , iliac screw breakage was 1 case (3.7%), bursitis was 1 case (3.7%), sacroiliac joint pain were 5 cases (18.5%), halo sign around iliac screw were 23 cases (85.1%), and 3 cases (11.1%) were performed reoperation. There was no significance between halo sign and sacroiliac joint pain. Conclusions: Iliac screw fixation is a very useful operative method without severe complications on spinopelvic fixation. There are some complications of iliac screw fixation and iliac screw prominence is a most common problem, but few counterplan exits. So, further studies about reducing complication method, management protocols of iliac screw complication were needed.

Citation status

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