title: Technique and results of fixation to the sacrum with iliosacral screws.
abstract: This article describes the technique of iliosacral screw fixation, as well as a retrospective review of 28 consecutive patients who had spine fusion to the sacrum with iliosacral screws, with a minimum follow-up of 2 years. The study included 6 male and 22 female patients. Average age at the time of surgery was 43 years, and mean follow-up time was 3.5 years. There were no neurologic complications at final follow-up evaluation. Ninety-five percent of the patients had radiographic evidence of fusion. Three patients required iliosacral screw removal because of suboptimal intraoperative Kirschner-wire placement. Optimal intraoperative radiographic evaluation for accurate iliosacral screw placement is recommended. The use of iliosacral screws is also a useful addition to the armamentarium of the spine surgeon when fixation to the sacrum is required.
authors.affiliation: New York Orthopaedic Hospital, Columbia Presbyterian Medical Center, New York.
authors.forename: J P
authors.initials: JP
authors.lastname: Farcy
authors.forename: B A
authors.initials: BA
authors.lastname: Rawlins
authors.forename: S D
authors.initials: SD
authors.lastname: Glassman
mesh_terms: D000328:Adult; D000368:Aged; D001863:Bone Screws; D001864:Bone Wires; D005260:Female; D006801:Humans; D007085:Ilium / Q000601:surgery; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D012447:Sacrum / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*