Evolving concepts in pelvic fixation in adult spinal deformity surgery
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2023-01-01
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Long-segment adult spinal deformity (ASD) constructs carry a high risk of mechanical complications. Pelvic fixation was introduced to improve distal construct mechanics and has since become the standard for long constructs spanning the lumbosacral junction. Pelvic fixation strategies have evolved substantially over the years. Numerous techniques now use a variety of entry points, screw trajectories, and construct configurations. We review the various strategies for pelvic fixation in ASD in a systematic review of the literature and update the techniques employed in the International Spine Study Group Complex Adult Deformity Surgery database.
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Turner, JD, AJ Schupper, PV Mummaneni, JS Uribe, RK Eastlack, GM Mundis, PG Passias, JD DiDomenico, et al. (2023). Evolving concepts in pelvic fixation in adult spinal deformity surgery. Seminars in Spine Surgery. pp. 101060–101060. 10.1016/j.semss.2023.101060 Retrieved from https://hdl.handle.net/10161/29444.
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Scholars@Duke
Peter Passias
Christopher Ignatius Shaffrey
I have more than 25 years of experience treating patients of all ages with spinal disorders. I have had an interest in the management of spinal disorders since starting my medical education. I performed residencies in both orthopaedic surgery and neurosurgery to gain a comprehensive understanding of the entire range of spinal disorders. My goal has been to find innovative ways to manage the range of spinal conditions, straightforward to complex. I have a focus on managing patients with complex spinal disorders. My patient evaluation and management philosophy is to provide engaged, compassionate care that focuses on providing the simplest and least aggressive treatment option for a particular condition. In many cases, non-operative treatment options exist to improve a patient’s symptoms. I have been actively engaged in clinical research to find the best ways to manage spinal disorders in order to achieve better results with fewer complications.
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