Historical Perspectives on the Evolution of Spino-Pelvic Fixation and its Implications on Clinical Care A Narrative Review.
Publication Title
Global Spine J
Document Type
Article
Publication Date
9-11-2024
Keywords
swedish; washington; swedish neurosci
Abstract
STUDY DESIGN: Broad narrative review.
OBJECTIVES: To review and summarize the evolution of spinopelvic fixation (SPF) and its implications on clinical care.
METHODS: A thorough review of peer-reviewed literature was performed on the historical evolution of sacropelvic fixation techniques and their respective advantages and disadvantages.
RESULTS: The sacropelvic junction has been a long-standing challenge due to a combination of anatomic idiosyncrasies and very high biomechanical forces. While first approaches of fusion were determinated by many material and surgical technique-related limitations, the modern idea of stabilization of the lumbosacral junction was largely initiated by the inclusion of the ilium into lumbosacral fusion. While there is a wide spectrum of indications for SPF the chosen technique remains is defined by the individual pathology and surgeons' preference.
CONCLUSION: By a constant evolution of both instrumentation hardware and surgical technique better fusion rates paired with improved clinical results could be achieved.
Clinical Institute
Orthopedics & Sports Medicine
Clinical Institute
Neurosciences (Brain & Spine)
Specialty/Research Institute
Neurosciences
Specialty/Research Institute
Orthopedics
DOI
10.1177/21925682241283726
