Sacral-Alar-Iliac Fixation in Pediatric Deformity: Radiographic Outcomes and Complications

Research output: Contribution to journalArticle

Abstract

Study Design Retrospective case series. Objectives To assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in children. Summary of Background Data Pelvic fixation in children undergoing spinal deformity surgery can be challenging because of complex anatomy, compound biomechanical forces at the lumbosacral junction, and poor bone quality. Methods Radiographic and clinical records of 80 consecutive patients aged 18 years or younger who underwent posterior spinal fusion surgery with SAI fixation by one pediatric orthopedic surgeon and who had a minimum 2 years of follow-up (mean follow-up: 3.5 years, range, 2-7 years) were retrospectively reviewed. Changes in coronal curve magnitude and pelvic obliquity were assessed using Student t tests. Significance was set at a p value less than.05 for all analyses. Results Pelvic obliquity correction averaged 77%, from 26 ± 13 degrees before surgery to 6 ± 4 degrees at final follow-up (p 8 mm. Level of Evidence Level 4.

Original languageEnglish (US)
Pages (from-to)225-229
Number of pages5
JournalSpine Deformity
Volume4
Issue number3
DOIs
StatePublished - May 1 2016

Fingerprint

Pediatrics
Spinal Fusion
Anatomy
Retrospective Studies
Students
Bone and Bones
daminozide
Orthopedic Surgeons

Keywords

  • Pediatric
  • Pelvic fixation
  • Radiographic outcomes
  • Sacral-alar-iliac screw
  • Spinal deformity

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

@article{8d2e1da248eb4c7190b36ae1297e8351,
title = "Sacral-Alar-Iliac Fixation in Pediatric Deformity: Radiographic Outcomes and Complications",
abstract = "Study Design Retrospective case series. Objectives To assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in children. Summary of Background Data Pelvic fixation in children undergoing spinal deformity surgery can be challenging because of complex anatomy, compound biomechanical forces at the lumbosacral junction, and poor bone quality. Methods Radiographic and clinical records of 80 consecutive patients aged 18 years or younger who underwent posterior spinal fusion surgery with SAI fixation by one pediatric orthopedic surgeon and who had a minimum 2 years of follow-up (mean follow-up: 3.5 years, range, 2-7 years) were retrospectively reviewed. Changes in coronal curve magnitude and pelvic obliquity were assessed using Student t tests. Significance was set at a p value less than.05 for all analyses. Results Pelvic obliquity correction averaged 77{\%}, from 26 ± 13 degrees before surgery to 6 ± 4 degrees at final follow-up (p 8 mm. Level of Evidence Level 4.",
keywords = "Pediatric, Pelvic fixation, Radiographic outcomes, Sacral-alar-iliac screw, Spinal deformity",
author = "Amit Jain and Kebaish, {Khaled M} and Sponseller, {Paul David}",
year = "2016",
month = "5",
day = "1",
doi = "10.1016/j.jspd.2015.11.005",
language = "English (US)",
volume = "4",
pages = "225--229",
journal = "Spine Deformity",
issn = "2212-134X",
publisher = "Elsevier BV",
number = "3",

}

TY - JOUR

T1 - Sacral-Alar-Iliac Fixation in Pediatric Deformity

T2 - Radiographic Outcomes and Complications

AU - Jain, Amit

AU - Kebaish, Khaled M

AU - Sponseller, Paul David

PY - 2016/5/1

Y1 - 2016/5/1

N2 - Study Design Retrospective case series. Objectives To assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in children. Summary of Background Data Pelvic fixation in children undergoing spinal deformity surgery can be challenging because of complex anatomy, compound biomechanical forces at the lumbosacral junction, and poor bone quality. Methods Radiographic and clinical records of 80 consecutive patients aged 18 years or younger who underwent posterior spinal fusion surgery with SAI fixation by one pediatric orthopedic surgeon and who had a minimum 2 years of follow-up (mean follow-up: 3.5 years, range, 2-7 years) were retrospectively reviewed. Changes in coronal curve magnitude and pelvic obliquity were assessed using Student t tests. Significance was set at a p value less than.05 for all analyses. Results Pelvic obliquity correction averaged 77%, from 26 ± 13 degrees before surgery to 6 ± 4 degrees at final follow-up (p 8 mm. Level of Evidence Level 4.

AB - Study Design Retrospective case series. Objectives To assess the radiographic outcomes and complications of sacral-alar-iliac (SAI) fixation in children. Summary of Background Data Pelvic fixation in children undergoing spinal deformity surgery can be challenging because of complex anatomy, compound biomechanical forces at the lumbosacral junction, and poor bone quality. Methods Radiographic and clinical records of 80 consecutive patients aged 18 years or younger who underwent posterior spinal fusion surgery with SAI fixation by one pediatric orthopedic surgeon and who had a minimum 2 years of follow-up (mean follow-up: 3.5 years, range, 2-7 years) were retrospectively reviewed. Changes in coronal curve magnitude and pelvic obliquity were assessed using Student t tests. Significance was set at a p value less than.05 for all analyses. Results Pelvic obliquity correction averaged 77%, from 26 ± 13 degrees before surgery to 6 ± 4 degrees at final follow-up (p 8 mm. Level of Evidence Level 4.

KW - Pediatric

KW - Pelvic fixation

KW - Radiographic outcomes

KW - Sacral-alar-iliac screw

KW - Spinal deformity

UR - http://www.scopus.com/inward/record.url?scp=84963815437&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84963815437&partnerID=8YFLogxK

U2 - 10.1016/j.jspd.2015.11.005

DO - 10.1016/j.jspd.2015.11.005

M3 - Article

C2 - 27927507

AN - SCOPUS:84963815437

VL - 4

SP - 225

EP - 229

JO - Spine Deformity

JF - Spine Deformity

SN - 2212-134X

IS - 3

ER -