Ilio-lumbar fixation--the Amrita technique.

摘要: Study Design Surgical technique description. Objective To describe a surgical of ilio-lumbar fixation with iliac screws, which attempts to overcome some the current limitations and technical difficulties associated this surgery. Summary Background Data The screw technique, is most commonly used method fixation, has certain that need special consideration. These include soft tissue coverage, improving strength distal anchorage, reducing hardware prominence, avoiding complex 3-dimensional rod contouring, preventing neurologic injury, acetabular violation. Materials Results Over past 5 years, we have our in 8 patients (4 sacral tumors, 2 fracture dislocations, spinal tuberculosis). In 6 cases, sacrum was not available for anchoring hence bypassed. follow-up ranged from 3 54 months, had resumed normal activities. 7 wound healed primarily solitary failure previously irradiated skin. Other complications like deficit secondary procedure, violation, implant were encountered. Conclusions Our provides stable simple alternative reconstruct potentially devastating instability lumbosacral junction. when as described, make procedure technically easier, reduce prominence without compromising stability construct provide adequate bone graft.