Complications of Iliac Screw in Spinopelvic Fixation With Adult Spinal Deformity - Complications of Iliac Screw in Spinopelvic Fixation - (성인 척추변형 환자에서 척추골반부 고정시 장골나사못과 관련된 합병증 - 척추골반부 고정 시 장골나사못의 합병증 -)

Whoan Jeang Kim (김환정); 지용주; 강종원; 박건영; 구제윤; 권원조; Choy， Won-Sik (최원식)

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 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.

KEYWORDS

Adult spinal deformity, Spinopelvic fixation, Iliac screw, Complication

Citation status

* References for papers published after 2023 are currently being built.

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