The Open Spine Journal

2010, 2 : 24-28
Published online 2010 October 14. DOI: 10.2174/1876532701002010024
Publisher ID: TOSPINEJ-2-24

Minimally Invasive Placement of Iliac Screws: A Technical Note

Asterios Tsimpas and Michael Y. Wang
Department of Neurological Surgery, 1095 NW 14th Terrace (D4-6), Miami, FL 33136, USA

ABSTRACT

The surgical treatment of destructive processes involving the lower lumbar spine and the sacrum often require attachment of a long hardware construct to the pelvis for improved stability. In an effort to minimize surgical morbidity and postoperative pain, and improve quicker patient mobilization, we describe a novel minimally invasive technique of percutaneously placed iliac screws. We explain the procedure in detail, while presenting the case of a patient suffering from a lytic lesion of the sacrum that was treated successfully with this method. This technique is a viable alternative to open surgery and an asset in the armamentarium of contemporary spinal surgery.

Keywords:

Minimally invasive surgery, lumbar spine, spinal instrumentation.