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Ilio-sacral screw pelvic fixation when correcting spinal deformities with or without pelvic obliquity: our experience over 40 years

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Abstract

Ilio-sacral screw fixation for treatment of spinal deformities with pelvic obliquity was used from more than 40 years in our department of pediatric orthopedics. Despite trying all the other systems published in the literature, the authors came back to iliosacral screw to address the pelvic fixation. Keeping the same anatomical and biomechanical principles, with no damage of the SI joint, they improve the technology over time, to allow an easy use. The fear about the precise insertion necessary to prevent any root irritation is now greatly reduced thanks to the modern navigation. The history of the establishment and the advantages of this technique are explained based on more than 250 cumulative cases with an excellent correction of the pelvic obliquity, without any case of complete pull out of the ilio-sacral screw. A very low rate of nonunion thanks to the 3D adaptation of the balance in erect standing or sitting posture of the patient, thanks to the motion of the intact SI joint, and the small sagittal motion existing in the linkage screw/connector. All this comparing favorably to the other techniques published in the current literature.

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Funding

No funding was received for this work.

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Authors and Affiliations

  1. French National Academy of Medicine, Paris, France

    Jean Dubousset

  2. Pediatric Orthopedic Department, Assistance Publique Hôpitaux de Paris, Necker Hospital, Paris Descartes University, 149 rue de Sèvres, 75015, Paris, France

    Mathilde Gaume & Lotfi Miladi

Authors
  1. Jean Dubousset
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  2. Mathilde Gaume
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  3. Lotfi Miladi
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Contributions

JD: Study design, manuscript drafting and revision for important intellectual content, approval of the final version to be published. MG: Revision for important intellectual content, approval of the final version to be published. LM: Revision for important intellectual content, approval of the final version to be published.

Corresponding author

Correspondence to Lotfi Miladi.

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Conflict of interest

J. Dubousset and M. Gaume have no conflict of interest to declare. L. Miladi receives royalties from EUROS Company.

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N°ID-RCB/EUDRACT: 2014-A01043-44.

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Informed consent was obtained from all patients’ parents.

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Dubousset, J., Gaume, M. & Miladi, L. Ilio-sacral screw pelvic fixation when correcting spinal deformities with or without pelvic obliquity: our experience over 40 years. Spine Deform 9, 665–670 (2021). https://doi.org/10.1007/s43390-020-00263-6

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  • DOI: https://doi.org/10.1007/s43390-020-00263-6

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