Percutaneous iliac screw placement: Description of a new minimally invasive technique

Michael Y. Wang, Steven C. Ludwig, D. Greg Anderson, Praveen V. Mummaneni

Research output: Contribution to journalArticle

41 Scopus citations

Abstract

Minimally invasive spinal instrumentation techniques have evolved tremendously over the past decade. Although there have been numerous reports of lumbar instrumentation performed via a percutaneous or minimal incisional route, to date there have been no reports of minimally invasive iliac screw placement. A method was developed for accurate placement of minimally invasive iliac screw placement based on a modification of currently available percutaneous lumbar instrumentation techniques. The method involves fluoroscopically guided insertion of a cannula-based screw system, and this technique was successful applied to treat an L-5 burst fracture with L-4 to iliac spinal stabilization via a minimally invasive approach. This report demonstrates the feasibility of percutaneous iliac screw instrumentation. However, future studies will be needed to validate the safety and efficacy of this approach.

Original languageEnglish (US)
Article numberE17
JournalNeurosurgical focus
Volume25
Issue number2
DOIs
StatePublished - Nov 28 2008

Keywords

  • Iliac fixation
  • Lumbar spine
  • Minimally invasive technique
  • Spinal fracture
  • Spinal instrumentation
  • Spinal trauma

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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