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KMID : 0388720130200030113
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Journal of Korean Society of Spine Surgery
2013 Volume.20 No. 3 p.113 ~ p.117
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Complications of Iliac Screw in Spinopelvic Fixation With Adult Spinal Deformity - Complications of Iliac Screw in Spinopelvic Fixation -
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Kim Whoan-Jeang
Chi Yong-Joo
Kang Jong-Won
Park Kun-Young
Koo Je-Yoon
Kwon Won-Cho
Choy Won-Sik
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Abstract
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Study Design: Retrospective study.
Objectives: To evaluate clinical & radiologic significance about complications of spinopelvic fixation with iliac screw in patients with adult spinal deformity.
Summary of Literature Review: Complications of iliac screw fixation in adult spinal deformity patients was obscure in spite of the good results of iliac screw fixation.
Materials and Methods: We analyzed 27 patients, followed over 1-year, with adult spinal deformity (lumbar degenerative kyphosis, degenerative lumbar scoliosis, flat back syndrome). The study was done for complications of iliac screw fixation by clinical and radiological evaluations.
Results: Post-operative iliac screw prominence were 15 cases (55.5%), iliac screw breakage was 1 case (3.7%), bursitis was 1 case (3.7%), sacroiliac joint pain were 5 cases (18.5%), halo sign around iliac screw were 23 cases (85.1%), and 3 cases (11.1%) were performed reoperation. There was no significance between halo sign and sacroiliac joint pain.
Conclusions: Iliac screw fixation is a very useful operative method without severe complications on spinopelvic fixation. There are some complications of iliac screw fixation and iliac screw prominence is a most common problem, but few counterplan exits. So, further studies about reducing complication method, management protocols of iliac screw complication were needed.
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KEYWORD
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Adult spinal deformity, Spinopelvic fixation, Iliac screw, Complication
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