Percutaneous iliac screw placement: description of a new minimally invasive technique.
Minimally invasive spinal instrumentation techniques have evolved tremendously over the past decade. Although there have been numerous reports of lumbar instrumentation performed via a percutaneous or minimal incisional route, to date there have been no reports of minimally invasive iliac screw placement. A method was developed for accurate placement of minimally invasive iliac screw placement based on a modification of currently available percutaneous lumbar instrumentation techniques. The method involves fluoroscopically guided insertion of a cannula-based screw system, and this technique was successful applied to treat an L-5 burst fracture with L-4 to iliac spinal stabilization via a minimally invasive approach. This report demonstrates the feasibility of percutaneous iliac screw instrumentation. However, future studies will be needed to validate the safety and efficacy of this approach.
Wang
Michael Y
MY
Department of Neurological Surgery, University of Miami Miller School of Medicine, Lois Pope LIFE Center, Miami, Florida 33136, USA. Mwang2@med.miami.edu
Ludwig
Steven C
SC
Anderson
D Greg
DG
Mummaneni
Praveen V
PV
D001863:Bone Screws; D017587:Diskectomy, Percutaneous / Q000295:instrumentation / Q000379:methods / Q000639:trends; D006801:Humans; D007085:Ilium / Q000473:pathology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation* / Q000379:methods* / Q000639:trends; D016103:Spinal Fractures / Q000473:pathology / Q000601:surgery