Neurovascular risks of sacral screws with bicortical purchase: An anatomical study

European Spine Journal

Volumn 16, Issue 9, 2007, Pages 1519-1523

  Ergur, Ipek ^a   Akcali, Omer ^a   Kiray, Amac ^a   Kosay, Can ^a   Tayefi, Hamid ^a  

^a DOKUZ EYLUL UNIVERSITY   (Turkey)

Author keywords

Anatomy; Complication; Sacral screw; Spine surgery

Indexed keywords

ARTICLE; BONE SCREW; CADAVER; HUMAN; PRIORITY JOURNAL; RISK ASSESSMENT; SACRUM; SPINE FUSION; SPINE INJURY; SPINE SURGERY; SUPINE POSITION; SURGICAL TECHNIQUE;

BLOOD VESSELS; BONE SCREWS; HUMANS; LUMBOSACRAL REGION; MALE; ORTHOPEDIC PROCEDURES; RISK FACTORS; SACRUM; SYMPATHETIC NERVOUS SYSTEM;

EID: 34548592230     PISSN: 09406719     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00586-007-0326-x     Document Type: Article

References (20)

1. Ebraheim NA, Lu J, Yang H, Heck BE, Yeasting RA (1997) Anatomic considerations of the second sacral vertebra and dorsal screw placement. Surg Radiol Anat 19:353-357
2. Ebraheim NA, Haman SP, Xu R, Stanescu S, Yeasting RA (2000) The lumbosacral nerves in relation to dorsal S1 screw placement and their locations on plain radiographs. Orthopedics 23(3):245-247
3. Emami A, Deviren V, Berven S, Smith JA, Hu SS, Bradford DS (2002) Outcome and complications of long fusions to the sacrum in adult spine deformity. Spine 27(7):776-786
4. Esenkaya I, Aluclu MA, Kavakli A, Bulut HT (2003) Radiologic and morphologic evaluation of the lateral sacral mass. Acta Orthop Traumatol Turc 37(4):330-339
5. Esses SI, Botsford DJ, Huler RJ, Rauschning W (1991) Surgical anatomy of the sacrum A guide for rational screw fixation. Spine 16(6 Suppl):S283-S288
6. Jutte PC, Castelein RM (2002) Complications of pedicle screws in lumbar and lumbosacral fusions in 105 consecutive primary operations. Eur Spine J 11(6):594-98
7. Kaptanoglu E, Okutan O, Tekdemir I, BeskonaklI E, Deda H (2003) Closed posterior superior iliac spine impending pediculocorporeal S-1 screw insertion. J Neurosurg (Spine 2) 99:229-234
8. Krag MH (1991) Biomechanics of thoracolumbar spinal fixation. A review. Spine 16(3 Suppl):S84-S99
9. Lebwohl NH, Cunningham BW, Dmitriev A, Shimamoto N, Gooch L, Devlin V, Boachie-Adjei O, Wagner TA (2002) Biomechanical comparison of lumbosacral fixation techniques in a calf spine model. Spine 27(21):2312-2320
10. Lehman RA, Kuklo TR, Belmont PJ, Andersen RC, Polly DW (2002) Advantage of pedicle screw fixation directed into the apex of the sacral promontory over bicortical fixation. Spine 27(8):806-811
11. Leong JCY, Lu WW, Zheng Y, Zhu Q, Zhong S (1998) Comparison of the strenghts of lumbosacral fixation achieved with techniques using one and two triangulated sacral screws. Spine 23(21):2289-2294
12. Licht NJ, Rowe DE, Ross LM (1992) Pitfalls of pedicle screw fixation in the sacrum. Spine 17(8):892-896
13. Louis R (1986) Fusion of the lumbar and sacral spine by internal fixation with screw plates. Clin Orthop Feb(203):18-33
14. Luk KDK, Chen L, Lu WW (2005) A stronger bicortical sacral pedicle screw fixation through the S1 endplate. Spine 30(5):525-529
15. Mirkovic S, Abitbol JJ, Steinman J, Edwards CC, Schaffler M, Massie J, Garfin SR (1991) Anatomic consideration for sacral screw placement. Spine 16(6 Suppl):S289-S294
16. Morse BJ, Ebraheim NA, Jackson WT (1994) Preoperative CT determination of angles for sacral screw placement. Spine 19(5):604-7
17. Roy-Camille R, Saillant G, Mazel G (1986) Internal fixation of the lumbar spine with pedicle screw plating. Clin Orthop Feb(203):7-17
18. Ruland CM, McAfee PC, Warden KE, Cunningham BW (1991) Triangulation of pedicular instrumentation. A biomechanical analysis. Spine 16(6 Suppl):S270-S276
19. Xu R, Ebraheim NA, Yeasting RA, Wong FY, Jackson WT (1995) Morphometric evaluation of the first sacral vertebra and the projection of its pedicle on the posterior aspect of the sacrum. Spine 20(8):936-40
20. Zindrick MR, Wiltse LL, Widell EH, Thomas JC, Holland WR, Field BT, Spencer CW (1986) A biomechanical study of intrapeduncular screw fixation in the lumbosacral spine. Clin Orthop Feb(203):99-112