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Research ArticleNew Technology

Direct Iliac Screw vs Sacral-2-Alar-Iliac Screws Technique for Sacropelvic Fixation: Technical Nuances and a Review of the Literature

Ahmed Habib, Nallammai Muthiah, Ali Alattar, Meagan Hoppe, Nitin Agarwal, Nima Alan, David Kojo Hamilton and Alp Ozpinar
International Journal of Spine Surgery August 2023, 17 (4) 511-519; DOI: https://doi.org/10.14444/8449
Ahmed Habib
1 Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, USA
2 Hillman Cancer Center, University of Pittsburgh Medical Center, Pittsburgh, USA
MD
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Nallammai Muthiah
1 Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, USA
BS
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Ali Alattar
1 Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, USA
MD, MAS
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Meagan Hoppe
2 Hillman Cancer Center, University of Pittsburgh Medical Center, Pittsburgh, USA
BS
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Nitin Agarwal
1 Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, USA
MD
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Nima Alan
1 Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, USA
MD
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David Kojo Hamilton
1 Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, USA
MD
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Alp Ozpinar
1 Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, USA
MD
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  • For correspondence: ozpinar88@gmail.com
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Figures

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    Figure 1

    A graphical representation summarizing screws used in pelvic fixation. PSIS, posterior superior iliac spine; S1, sacral 1; S2, sacral 2.

  • Figure 2
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    Figure 2

    Panels A and B: Postoperative anterior-posterior and lateral x-ray image showing the continuity of the subcrestal fixation construct “Eiffel Tower-like.”

  • Figure 3
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    Figure 3

    Panels A and B: Postoperative anterior-posterior x-ray image showing the accessory rod connected below the iliac bolt to relieve the stress between S1 and the iliac screw (red square).

  • Figure 4
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    Figure 4

    A graphical representation depicting the location for subcrestal screws placement and the accompanying rod spatial orientation.

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International Journal of Spine Surgery
Vol. 17, Issue 4
1 Aug 2023
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Direct Iliac Screw vs Sacral-2-Alar-Iliac Screws Technique for Sacropelvic Fixation: Technical Nuances and a Review of the Literature
Ahmed Habib, Nallammai Muthiah, Ali Alattar, Meagan Hoppe, Nitin Agarwal, Nima Alan, David Kojo Hamilton, Alp Ozpinar
International Journal of Spine Surgery Aug 2023, 17 (4) 511-519; DOI: 10.14444/8449

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Direct Iliac Screw vs Sacral-2-Alar-Iliac Screws Technique for Sacropelvic Fixation: Technical Nuances and a Review of the Literature
Ahmed Habib, Nallammai Muthiah, Ali Alattar, Meagan Hoppe, Nitin Agarwal, Nima Alan, David Kojo Hamilton, Alp Ozpinar
International Journal of Spine Surgery Aug 2023, 17 (4) 511-519; DOI: 10.14444/8449
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  • Article
    • Abstract
    • Introduction
    • Iliac Screws Approach for Pelvic Fixation
    • S2AI Screw Technique for Sacropelvic Fixation
    • Discussion
    • Contemporary Advances in Sacropelvic Fixation and Future Prospects
    • Conclusion
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

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  • Accuracy of Pedicle Screw Placement Using the ExcelsiusGPS Robotic Navigation Platform: An Analysis of 728 Screws
  • A Network Meta-Analysis Comparing the Efficacy and Safety of Pedicle Screw Placement Techniques Using Intraoperative Conventional, Navigation, Robot-Assisted, and Augmented Reality Guiding Systems
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Keywords

  • S2AI
  • iliac
  • screw
  • sacropelvic
  • fixation

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