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Morphometry of iliac anchorage for transiliac screws: a cadaver and CT study of the Eastern population

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Abstract

Objectives

To describe the morphometry of iliac columns for transiliac screw and to testify the conformity among the anatomic measurement, two-dimensional (2D) and three-dimensional (3D) computed tomography.

Methods

We evaluated the length, inner width, and angle of three screw trajectories starting at the iliac tubercle, posterior superior iliac spine, and posterior inferior iliac spine toward the anterior inferior iliac spine. Measurements were made on specimen, two- and 3D computed tomography using 18 embalmed cadaveric pelves.

Results

There was no significant difference among three measure methods. The path between the posterior superior iliac spine and anterior inferior iliac spine had the largest iliac column length, with 135 mm in male and 110 mm in female. The canal allowed placement of 8-mm screw in male and 6.5 mm in female with the angle of 25° laterally directed from the midsagittal plane. The line between the posterior inferior iliac spine and anterior inferior iliac spine was below or just located at the top of greater sciatic notch in the majority measurements. The safe section for transiliac screw approximately located above the greater sciatic notch and could be divided into anterior and posterior parts.

Conclusion

The measurements among anatomic measurement, 2D and 3D computed tomography are consistent. The screw path from the posterior superior iliac spine toward anterior inferior iliac spine provided the longest anchor site. At the same time, the line between the posterior inferior iliac spine and anterior inferior iliac spine is not available for transiliac screw insertion of eastern population. The posterior of the safe section also can be regarded as another ilium anchorage area for transiliac screws.

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References

  1. Letournel E (1981) Surgical fixation of displaced pelvic fractures and dislocations of the symphysis pubis (excluding acetabular fractures). Rev Chir Orthop Reparatrice Appar Mot 67(8):771–782

    CAS  PubMed  Google Scholar 

  2. Hahn F, Hauser D, Espinosa N (2008) Scoliosis correction with pedicle screws in Duchenne muscular dystrophy. Eur Spine J 17:255–261. doi:10.1007/s00586-007-0558-9

    Article  PubMed  Google Scholar 

  3. Phillips JH, Gutheil JP, Knapp DR (2007) Iliac screw fixation in neuromuscular scoliosis. Spine 32:1566–1570

    Article  PubMed  Google Scholar 

  4. Kuniyoshi Tsuchiya, Bridwell Keith H, Kuklo Timothy R (2006) Minimum 5-year analysis of L5–S1 fusion using sacropelvic fixation (bilateral S1 and iliac screws) for spinal deformity. Spine 31:303–308

    Article  Google Scholar 

  5. Yazici M, Asher MA, Hardacker JW (2000) The safety and efficacy of Isola–Galveston instrumentation and arthrodesis in the treatment of neuromuscular spinal deformities. J Bone Joint Surg 82A:524–543

    Google Scholar 

  6. Dickey ID, Hugate RR, Bruno F (2005) Reconstruction after total sacrectomy: early experience with a new surgical technique. Clin Orthop Relat Res 43:42–50

    Article  Google Scholar 

  7. McGee AM, Bache CE, Spilsbury J (2000) A simplified Galveston technique for the stabilisation of pathological fractures of the sacrum. Eur Spine J 9:451–454

    Article  CAS  PubMed  Google Scholar 

  8. Bridwell KH (2005) Utilization of iliac screws and structural interbody grafting for revision spondylolisthesis surgery. Spine 30(6S):S88–S96

    Article  PubMed  Google Scholar 

  9. Kuklo TR, Bridwell KH, Lewis SJ (2001) Minimum 2-year analysis of sacropelvic fixation and L5–S1 fusion using S1 and iliac screws. Spine 26:1976–1983

    Article  CAS  PubMed  Google Scholar 

  10. Schildhauer TA, Josten C, Muhr G (1998) Triangular osteosynthesis of vertically unstable sacrum fractures: a new concept allowing early weight-bearing. J Orthop Trauma 12:307–314

    Article  CAS  PubMed  Google Scholar 

  11. Schildhauer TA, Bellabarba C, Nork SE (2006) Decompression and lumbopelvic fixation for sacralfracture-dislocations with spino-pelvic dissociation. J Orthop Trauma 20:447–457

    Article  PubMed  Google Scholar 

  12. Axel G, Tim P, C Krettek (2006) Supraacetabular external fixation for pelvic ring fractures. Eur J Trauma 32:489–499

    Article  Google Scholar 

  13. Bents RT, France JC, Glover JM (1996) Traumatic spondylopelvic dissociation: a case report and literature review. Spine 21:1814–1819

    Article  CAS  PubMed  Google Scholar 

  14. Routt MLC Jr, Nork SE, Mills WJ (2000) Percutaneous fixation of pelvic ring disruptions. Clin Orthop 375:15–29

    Google Scholar 

  15. Day AC, Kinmont C, Bircher MD, Kumar S (2007) Crescent fracture-dislocation of the sacroiliac joint: a functional classification. J Bone Joint Surg Br 89(5):651–658

    Article  CAS  PubMed  Google Scholar 

  16. Miller F, Moseley C, Koreska J (1990) Pelvic anatomy relative to lumbosacral instrumentation. J Spinal Dis 3:169–173

    CAS  Google Scholar 

  17. Berry JL, Stahurski T, Asher MA (2001) Morphometry of the supra sciatic notch intrailiac implant anchor passage. Spine 26:E143–E148

    Article  CAS  PubMed  Google Scholar 

  18. Aguado F, Revilla M, Villa LF (1997) Cortical bone resorption in osteoporosis. Calc Tissue Int 60:323–326

    Article  CAS  Google Scholar 

  19. Starr AJ, Walter JC, Harris RW (2002) Percutaneous screw fixation of fractures of the iliac wing and fracture-dislocations of the sacro-iliac joint (OTA Types 61–B2.2 and 61–B2.3, or Young-Burgess “Lateral Compression Type II” Pelvic Fractures). J Orthop Trauma 16:116–123

    Article  PubMed  Google Scholar 

  20. Patriquin ML, Steyn M, Loth SR (2002) Metric assessment of race from the pelvis in South Africans. R Forensic Sci Int 127:104–113

    Article  CAS  Google Scholar 

  21. Iizuka H, Sorimachi Y, Ara T (2008) Relationship between the morphology of the atlanto-occipital joint and the radiographic results in patients with atlanto-axial subluxation due to rheumatoid arthritis. Eur Spine J. doi:10.1007/s00586-008-0659-0

  22. Mizutani J, Matsubara T, Fukuoka M (2008) Application of full-scale three-dimensional models in patients with rheumatoid cervical spine. Eur Spine J 17:644–649. doi:10.1007/s00586-008-0611-3

    Article  PubMed  Google Scholar 

  23. Schildhauer TA, McCullough P, Chapman JR (2002) Anatomic and radiographic considerations for placement of transiliac screws in lumbopelvic fixations. J Spinal Disord Tech 15:199–205

    PubMed  Google Scholar 

  24. Durand S, Delmas V, Ho Ba Tho M-C (2006) Morphometry by computerized three-dimensional reconstruction of the human carpal bones during embryogenesis. Surg Radiol Anat 28:355–358

    Article  CAS  PubMed  Google Scholar 

  25. Billuart F, Gagey O, Skalli W (2006) Biomechanics of the deltoideus. Surg Radiol Anat 28:76–81

    Article  CAS  PubMed  Google Scholar 

  26. Donovan J, Shaffer WO, Marguiles J (2000) Intrailiac pelvic foundation development. In: Proceedings of World Spine I-first interdisciplinary world congress on spinal surgery, Berlin, Germany, August 27–September 1

  27. Panagiotis K, Magnissalis EA, Despina D (2006) Biomechanical evaluation of conventional internal contemporary spinal fixation techniques used for stabilization of complete sacroiliac joint separation: a 3-dimensional unilaterally isolated experimental stiffness study. Spine 31:E941–E995

    Article  Google Scholar 

  28. Schildhauer TA, Bellabarba C, Selznick HS (2007) Unstable pediatric sacral fracture with bone loss caused by a high-energy gunshot injury. J Trauma 62:1–5

    Article  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Anatomy, Southern Medical University, 510515, Guangzhou, China

    Xiguang Tian, Weichao Sheng, Jun Ouyang, Dachuan Xu, Shenghua Chen & Zihai Ding

  2. Department of Orthopaedics, The First Affiliated Hospital of Zhengzhou University, 450052, Zhengzhou, China

    Jiazhen Li

  3. Department of Orthopaedics, Nanfang Hospital, Southern Medical University, 510515, Guangzhou, China

    Dongbin Qu

Authors
  1. Xiguang Tian
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  2. Jiazhen Li
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  3. Weichao Sheng
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  4. Dongbin Qu
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  5. Jun Ouyang
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  6. Dachuan Xu
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  7. Shenghua Chen
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  8. Zihai Ding
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Corresponding author

Correspondence to Zihai Ding.

Additional information

Our study complies with the current laws of our country and regulations of the university. At the same time, all process is permitted by local ethics committee.

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Tian, X., Li, J., Sheng, W. et al. Morphometry of iliac anchorage for transiliac screws: a cadaver and CT study of the Eastern population. Surg Radiol Anat 32, 455–462 (2010). https://doi.org/10.1007/s00276-009-0589-5

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  • DOI: https://doi.org/10.1007/s00276-009-0589-5

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