Proper detailed parameters for S1 sacral alar iliac screw placement in the Chinese population, a 3D imaging study.

Abstract:

BACKGROUND:S1-AI technique may be used as a salvage technique in pelvic fixation of complex spinal deformity surgery. However, the proper detailed parameters in the Chinese population has not been analyzed before to instruct S1-AI screws placement and to ensure the safety of clinical application while the trajectory in pelvic changes significantly at each angle. RESULTS:The ideal S1AI screw trajectory could be obtained in 28 of 30 female patient images (93.3%) and in all of the male patient images (100%). The screws that have already been used clinically in S2AI pathways can be applied in S1AI fixations. CONCLUSION:It is feasible to place S1AI screws in 93.3% of female Chinese adult patients and in all male Chinese patients. Preoperative CT reconstruction should be performed to evaluate proper trajectory parameters and to avoid anterior violation.

journal_name

J Orthop Surg Res

authors

Wang Y,Hu W,Hu F,Zhang H,Wang T,Wang Y,Zhang X

doi

10.1186/s13018-018-0739-8

subject

Has Abstract

pub_date

2018-02-26 00:00:00

pages

39

issue

1

issn

1749-799X

pii

10.1186/s13018-018-0739-8

journal_volume

13

pub_type

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