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"Хирургия позвоночника"

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Позвоночно-тазовая фиксация: современные технические решения

https://doi.org/10.14531/ss2021.4.101-110

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Аннотация

Представлена вторая часть обзора литературы, посвященная современным методам выполнения позвоночно-тазовой фиксации при различных патологиях и повреждениях позвоночника и таза. Обзор носит несистематический характер и проведен с использованием источников из баз данных медицинской литературы и поисковых ресурсов PubMed и eLibrary. Освещены современные методики позвоночно-тазовой фиксации с использованием устанавливаемых в подвздошные кости винтов, анатомические и биомеханические особенности, клинические результаты ее применения, а также выполнения позвоночно-тазовой фиксации при опухолевых поражениях крестца, в том числе с использованием кастомизированных имплантатов, аддитивных технологий. Рассмотрены особенности хирургических техник (классической установки подвздошных винтов, установки методом S2AIS), оценены их преимущества и недостатки, возможные осложнения.

Об авторах

М. С. Ветрилэ
Национальный медицинский центр травматологии и ортопедии им. Н.Н. Приорова Россия, 127299, Москва, ул. Приорова, 10
Россия

канд. мед. наук, врач-травматолог-ортопед, старший научный сотрудник



А. А. Кулешов
Национальный медицинский центр травматологии и ортопедии им. Н.Н. Приорова Россия, 127299, Москва, ул. Приорова, 10
Россия

д-р мед. наук, врач-травматолог-ортопед, заведующий отделением вертебрологии



С. Н. Макаров
Национальный медицинский центр травматологии и ортопедии им. Н.Н. Приорова Россия, 127299, Москва, ул. Приорова, 10
Россия

канд. мед. наук, врач-травматолог-ортопед



И. Н. Лисянский
Национальный медицинский центр травматологии и ортопедии им. Н.Н. Приорова Россия, 127299, Москва, ул. Приорова, 10
Россия

канд. мед. наук, врач-травматолог-ортопед



Н. А. Аганесов
Национальный медицинский центр травматологии и ортопедии им. Н.Н. Приорова Россия, 127299, Москва, ул. Приорова, 10
Россия

врач-травматолог-ортопед



В. Р. Захарин
Национальный медицинский центр травматологии и ортопедии им. Н.Н. Приорова Россия, 127299, Москва, ул. Приорова, 10
Россия

врач-травматолог-ортопед



Список литературы

1. Miller F, Moseley C, Koreska J. Pelvic anatomy relative to lumbosacral instrumentation. J Spinal Disord. 1990;3:169–173.

2. Schildhauer TA, McCulloch P, Mann JR. Anatomic and radiographic considerations for placement of transiliac screws in lumbopelvic fixations. J Spinal Disord Tech. 2002;15:199–205. DOI: 10.1097/00024720-200206000-00005.

3. Berry JL, Stahurski T, Asher MA. Morphometry of the supra sciatic notch intrailiac implant anchor passage. Spine. 2001;26:E143–E148. DOI: 10.1097/00007632-200104010-00002.

4. Zheng ZM, Yu BS, Chen H, Aladin DMK, Zhang KB, Zhang JF, Liu H, Luk KDK, Lu WW. Effect of iliac screw insertion depth on the stability and strength of lumbo-iliac fixation constructs: an anatomical and biomechanical study. Spine. 2009;34:

5. E565–E572. DOI: 10.1097/BRS.0b013e3181ac8fc4.

6. Peelle MW, Lenke LG, Bridwell KH, Sides B. Comparison of pelvic fixation techniques in neuromuscular spinal deformity correction: Galveston rod versus iliac and lumbosacral screws. Spine. 2006;31:2392–2398. DOI: 10.1097/01.brs.0000238973.13294.16.

7. Tumialan LM, Mummaneni PV. Long-segment spinal fixation using pelvic screws. Neurosurgery. 2008;63(3 Suppl):183–190. DOI: 10.1227/01.NEU.0000320431.66632.D5.

8. Tsuchiya K, Bridwell KH, Kuklo TR, Lenke LG, Baldus C. Minimum 5-year analysis of L5–S1 fusion using sacropelvic fixation (bilateral S1 and iliac screws) for spinal deformity. Spine. 2006;31:303–308. DOI: 10.1097/01.brs.0000197193.81296.f1.

9. Cho W, Mason JR, Smith JS, Shimer AL, Wilson AS, Shaffrey CI, Shen FH, Novicoff WM, Fu KMG, Heller JE, Arlet V. Failure of lumbopelvic fixation after long construct fusions in patients with adult spinal deformity: clinical and radiographic risk factors: clinical article. J Neurosurg Spine. 2013;19:445–453. DOI: 10.3171/2013.6.SPINE121129.

10. O’Brien JR, Yu WD, Bhatnagar R, Sponseller P, Kebaish KM. An anatomic study of the S2 iliac technique for lumbopelvic screw placement. Spine. 2009;34:439–442. DOI: 10.1097/BRS.0b013e3181a4e3e4.

11. Chang T-L, Sponseller PD, Kebaish KM, Fishman EK. Low profile pelvic fixation: anatomic parameters for sacral alar-iliac fixation versus traditional iliac fixation. Spine. 2009;34:436–440. DOI: 10.1097/brs.0b013e318194128c.

12. Matteini LE, Kebaish KM, Volk WR, Bergin PF, Yu WD, O’Brien JR. An S2 alar iliac pelvic fixation: Technical note. Neurosurg Focus. 2010;28:E13. DOI: 10.3171/2010.1.FOCUS09268.

13. O’Brien JR, Yu W, Kaufman BE, Bucklen B, Salloum K, Khalil S, Gudipally M. Biomechanical evaluation of S2 alar-iliac screws: effect of length and quad-cortical purchase as compared with iliac fixation. Spine. 2013;38: E1250–E1255. DOI: 10.1097/BRS.0b013e31829e17ff.

14. Hoernschemeyer DG, Pashuck TD, Pfeiffer FM. Analysis of the S2 alar-iliac screw as compared with the traditional iliac screw: does it increase stability with sacroiliac fixation of the spine? Spine J. 2017;17:875–879. DOI: 10.1016/j.spinee.2017.02.001.

15. Shin JK, Lim BY, Goh TS, Son SM, Kim HS, Lee JS, Lee CS. Effect of the screw type (S2-alar-iliac and iliac), screw length, and screw head angle on the risk of screw and adjacent bone failures after a spinopelvic fixation technique: A finite element analysis. PLoS One. 2018;13:e0201801. DOI: 10.1371/journal.pone.0201801.

16. Park JH, Hyun SJ, Kim KJ, Jahng TA. Free hand insertion technique of S2 sacral alar-iliac screws for spino-pelvic fixation: Technical note, a cadaveric study. J Korean Neurosurg Soc. 2015;58:578–581. DOI: 10.3340/jkns.2015.58.6.578.

17. Laratta JL, Shillingford JN, Meredith JS, Lenke LG, Lehman RA, Gum JL. Robotic versus freehand S2 alar iliac fixation: in-depth technical considerations. J Spine Surg. 2018;4:638–644. DOI: 10.21037/jss.2018.06.13.

18. Laratta JL, Shillingford JN, Lombardi JM, Allrabaa RG, Benkli B, Fischer C, Lenke LG, Lehman RA. Accuracy of S2 alar-iliac screw placement under robotic guidance. Spine Deform. 2018;6:130–136. DOI: 10.1016/j.jspd.2017.08.009.

19. Tanasansomboon T, Tejapongvorachai T, Yingsakmongkol W, Limthongkul W, Kotheeranurak V, Singhatanadgige W. Minimally invasive percutaneous modified iliac screw placement using intraoperative navigation: a technical note. World Neurosurg. 2021;146:240–245. DOI: 10.1016/j.wneu.2020.11.112.

20. Kebaish KM, Gunne AP, Mohamed AS, Zimmerman R, Ko PS, Skolasky RL, O’Brien JR, Sponseller PD. A new low profile sacro-pelvic fixation using S2 alar iliac (S2AI) screws in adult deformity fusion to the sacrum: a prospective study with minimum two-year follow-up. In: SRS 44th Annual Meeting and Course. San Antonio, Texas, September 23–26, 2009. E-Poster #21. 2009:170.

21. Kebaish KM, Pullter Gunne AF, Mohamed AS, Ko PS, Skolasky RL, O’Brien JR, Sponseller PD. A new low profile sacro-pelvic fixation using S2 Alar Iliac (S2AI) screws in adult deformity fusion to the sacrum: a prospective study with minimum two-year follow-up. In: North American Spine Society Annual Meeting; November 10–14, 2009; San Francisco, CA; 2009.

22. Sponseller PD, Zimmerman RM, Ko PS, Gunne AFP, Mohamed AS, Chang TL, Kebaish KM. Low profile pelvic fixation with the sacral alar iliac technique in the pediatric population improves results at two-year minimum follow-up. Spine. 2010;35:1887–1892. DOI: 10.1097/BRS.0b013e3181e03881.

23. Jain A, Kebaish KM, Sponseller PD. Sacral-alar-iliac fixation in pediatric deformity: radiographic outcomes and complications. Spine Deform. 2016;4:225–229. DOI: 10.1016/j.jspd.2015.11.005.

24. Elder BD, Ishida W, Lo SFL, Holmes C, Goodwin CR, Kosztowski TA, Bydon A, Gokaslan ZL, Wolinsky JP, Sciubba DM, Witham TF. Use of S2-alar-iliac screws associated with less complications than iliac screws in adult lumbosacropelvic fixation. Spine. 2017;42:E142–E149. DOI: 10.1097/BRS.0000000000001722.

25. Guler UO, Cetin E, Yaman O, Pellise F, Casademut AV, Sabat MD, Alanay A, Grueso FS, Acaroglu E. Sacropelvic fixation in adult spinal deformity (ASD); a very high rate of mechanical failure. Eur Spine J. 2015;24:1085–1091. DOI: 10.1007/s00586-014-3615-1.

26. Cottrill E, Margalit A, Brucker C, Sponseller PD. Comparison of sacral-alar-iliac and iliac-only methods of pelvic fixation in early-onset scoliosis at 5.8 years’ mean follow-up. Spine Deform. 2019;7:364–370. DOI: 10.1016/j.jspd.2018.08.007.

27. Shillingford JN, Laratta JL, Tan LA, Sarpong NO, Lin JD, Fischer CR, Lehman RA Jr, Kim YJ, Lenke LG. The free-hand technique for S2-alar-iliac screw placement. J Bone Joint Surg Am. 2018;100:334–342. DOI: 10.2106/JBJS.17.00052.

28. Ishida W, Elder BD, Holmes C, Lo SL, Goodwin CR, Kosztowski TA, Bydon A, Gokaslan ZL, Wolinsky JP, Sciubba DM, Witham TF. Comparison between S2-alar-iliac screw fixation and iliac screw fixation in adult deformity surgery: reoperation rates and spinopelvic parameters. Global Spine J. 2017;7:672–680. DOI: 10.1177/2192568217700111.

29. Shabtai L, Andras LM, Portman M, Harris LR, Choi PD, Tolo VT, Skaggs DL. Sacral alar iliac (SAI) screws fail 75% less frequently than iliac screws in neuromuscular scoliosis. J Pediatr Orthop. 2017;37:e470–e475. DOI: 10.1097/BPO.0000000000000720.

30. Keorochana G, Arirachakaran A, Setrkraising K, Kongtharvonskul J. Comparison of complications and revisions after sacral 2 alar iliac screw and iliac screw fixation for sacropelvic fixation in pediatric and adult populations: systematic review and meta-analysis. World Neurosurg. 2019;132:408–420.e1. DOI: 10.1016/j.wneu.2019.08.104.

31. Sohn S, Chung CK, Kim YJ, Kim CH, Park SB, Kim H. Modified iliac screw fixation: technique and clinical application. Acta Neurochir (Wien). 2016;158:975–980. DOI: 10.1007/s00701-016-2772-x.

32. Sohn S, Park TH, Chung CK, Kim YJ, Jang JW, Han IB, Lee SJ. Biomechanical characterization of three iliac screw fixation techniques: A finite element study. J Clin Neurosci. 2018;52:109–114. DOI: 10.1016/j.jocn.2018.03.002.

33. Cady-McCrea CI, Visco ZR, Lavelle WF, Tallarico RA. Distal ventral iliac pathway for spinopelvic fixation: technique description and case series. Int J Spine Surg. 2021;8116. DOI: 10.14444/8116.

34. Yu BS, Zhuang XM, Zheng ZM, Li ZM, Wang TP, Lu WW. Biomechanical advantages of dual over single iliac screws in lumbo-iliac fixation construct. Eur Spine J. 2010;19:1121–1128. DOI: 10.1007/s00586-010-1343-8.

35. Mindea SA, Chinthakunta S, Moldavsky M, Gudipally M, Khalil S. Biomechanical comparison of spinopelvic reconstruction techniques in the setting of total sacrectomy. Spine. 2012;37:E622–E627. DOI: 10.1097/BRS.0b013e31827619d3.

36. Acharya NK, Bijukachhe B, Kumar RJ, Menon VK. Ilio-lumbar fixation-The Amrita technique. J Spinal Disord Tech. 2008;21:493–499. DOI: 10.1097/BSD.0b013e31815b5cc4.

37. Ebata S, Ohba T, Oba H, Haro H. Bilateral dual iliac screws in spinal deformity correction surgery. J Orthop Surg Res. 2018;13:260. DOI: 10.1186/s13018-018-0969-9.

38. Bodin A, Roussouly P. Sacral and pelvic osteotomies for correction of spinal deformities. Eur Spine J. 2014;24(Suppl 1):72–82. DOI: 10.1007/s00586-014-3651-x.

39. Ozturk AK, Sullivan PZ, Arlet V. Sacral pedicle subtraction osteotomy for an extreme case of positive sagittal balance: case report. J Neurosurg Spine. 2018;28:

40. –535. DOI: 10.3171/2017.8.SPINE17550.

41. Czyz M, Forster S, Holton J, Shariati B, Clarkson DJ, Boszczyk BM. New method for correction of lumbo-sacral kyphosis deformity in patient with high pelvic incidence. Eur Spine J. 2017;26:2204–2210. DOI: 10.1007/s00586-017-5205-5.

42. Bourghli A, Boissiere L, Obeid I. Dual iliac screws in spinopelvic fixation: a systematic review. Eur Spine J. 2019;28:2053–2059. DOI: 10.1007/s00586-019-06065-3.

43. Shen FH, Harper M, Foster WC, Marks I, Arlet V. A novel “four-rod technique” for lumbo-pelvic reconstruction: theory and technical considerations. Spine. 2006;31:1395–1401. DOI: 10.1097/01.brs.0000219527.64180.95.

44. Lebwohl NH, Cunningham BW, Dmitriev A, Shimamoto N, Gooch L, Devlin V, Boachie-Adjei O, Wagner TA. Biomechanical comparison of lumbosacral fixation techniques in a calf spine model. Spine. 2002;27:2312–2320. DOI: 10.1097/00007632-200211010-00003.

45. Galbusera F, Casaroli G, Chande R, Lindsey D, Villa T, Yerby S, Mesiwala A, Panico M, Gallazzi E, Brayda-Bruno M. Biomechanics of sacropelvic fixation: a comprehensive finite element comparison of three techniques. Eur Spine J. 2020;29:295–305. DOI: 10.1007/s00586-019-06225-5.

46. Park SJ, Park JS, Nam Y, Yum TH, Choi YT, Lee CS. Failure types and related factors of spinopelvic fixation after long construct fusion for adult spinal deformity. Neurosurgery. 2021;88:603–611. DOI: 10.1093/neuros/nyaa469.

47. Newman CB, Keshavarzi S, Aryan HE. En bloc sacrectomy and reconstruction: technique modification for pelvic fixation. Surg Neurol. 2009;72:752–756. DOI: 10.1016/j.surneu.2009.02.008.

48. Varga PP, Szoverfi Z, Lazary A. Surgical resection and reconstruction after resection of tumors involving the sacropelvic region. Neurol Res. 2014;36:588–596. DOI: 10.1179/1743132814Y.0000000370.

49. Gallia GL, Haque R, Garonzik I, Witham TF, Khavkin YA, Wolinsky JP, Suk I, Gokaslan ZL. Spinal pelvic reconstruction after total sacrectomy for en bloc resection of a giant sacral chordoma. Technical note. J Neurosurg Spine. 2005;3:501–506. DOI: 10.3171/spi.2005.3.6.0501.

50. Bederman SS, Shah KN, Hassan JM, Hoang BH, Kiester PD, Bhatia NN. Surgical techniques for spinopelvic reconstruction following total sacrectomy: a systematic review. Eur Spine J. 2014;23:305–319. DOI: 10.1007/s00586-013-3075-z.

51. Gallia GL, Suk I, Witham TF, Gearhart SL, Black JH 3rd, Redett RJ, Sciubba DM, Wolinsky JP, Gokaslan ZL. Lumbopelvic reconstruction after combined L5 spondylectomy and total sacrectomy for en bloc resection of a malignant fibrous histiocytoma. Neurosurgery. 2010;67:E498–E502. DOI: 10.1227/01.NEU.0000382972.15422.10.

52. Gillis CC, Street JT, Boyd MC, Fisher CG. Pelvic reconstruction after subtotal sacrectomy for sacral chondrosarcoma using cadaveric and vascularized fibula autograft. J Neurosurg Spine. 2014;21:623–627. DOI: 10.3171/2014.6.SPINE13657.

53. Choi MK, Jo DJ, Kim SB. Pelvic reconstruction surgery using a dual-rod technique with diverse U-shaped rods after posterior en bloc partial sacrectomy for a sacral tumor: 2 case reports and a literature review. World Neurosurg. 2016;95:619.e11–619.e18. DOI: 10.1016/j.wneu.2016.08.022.

54. Wuisman P, Lieshout O, van Dijk M, van Diest P. Reconstruction after total en bloc sacrectomy for osteosarcoma using a custom-made prosthesis. Spine. 2001;26:431–439. DOI: 10.1097/00007632-200102150-00021.

55. Dalbayrak S, Yilmaz M, Kaner T, Gokdag M, Yilmaz T, Sasani M, Oktenoglu T, Ozer AF. Lumbosacral stabilization using iliac wings: A new surgical technique. Spine. 2011;36:E673–E677. DOI: 10.1097/BRS.0b013e3181f8fa7c.

56. Кулешов А.А., Ветрилэ М. С., Шкарубо А. Н., Доценко В. В., Еськин Н. А., Лисянский И. Н., Макаров С. Н. Аддитивные технологии в хирургии деформаций позвоночника // Вестник травматологии и ортопедии им Н.Н. Приорова. 2018. № 4. С. 19–29. [Kuleshov AA, Vetrile MS, Shkarubo AN, Docenko VV, Es’kin NA, Lisyanskiy IN, Makarov SN. Additive technologies in surgical treatment of spinal deformities. N.N. Priorov Journal of Traumatology and Orthopedics. 2018;(4):19–29. In Russian]. DOI: 10.17116/vto201803-04119.

57. Ветрилэ М.С., Кулешов А.А., Макаров С.Н., Лисянский И.Н., Кокорев А.И., Аганесов Н.А., Захарин В.Р. Особенности позвоночно-тазовой фиксации при деформациях и травматических повреждениях позвоночника // Вестник травматологии и ортопедии им Н.Н. Приорова. 2021. Т. 28. № 1. C. 17–27. [Vetrile MS, Kuleshov AA, Makarov SN, Lisyansy IN, Kokorev AI, Aganesov NA, Zakharin VR. Peculiarities of spinopelvic fixation in deformations and traumatic injuries of the spine. NN Priorov Journal of Traumatology and Orthopedics. 2021;28(1):17–27. In Russian]. DOI: 10.17816/vto63954.

58. Joukar A, Mehta J, Goel VK, Marks DS. Biomechanical analysis of the tuning fork plate versus dual pelvic screws in a sacrectomy model: a finite element study. Global Spine J. Published online 2021:1–8. DOI: 10.1177/2192568220983792.

59. Wei R, Guo W, Ji T, Zhang Y, Liang H. One-step reconstruction with a 3D-printed, custom-made prosthesis after total en bloc sacrectomy: a technical note. Eur Spine J. 2017;26:1902–1909. DOI: 10.1007/s00586-016-4871-z.

60. Wei R, Guo W, Yang R, Tang X, Yang Y, Ji T, Liang H. Reconstruction of the pelvic ring after total en bloc sacrectomy using a 3D-printed sacral endoprosthesis with re-establishment of spinopelvic stability: a retrospective comparative study. Bone Joint J. 2019;101-B:880–888. DOI: 10.1302/0301-620X.101B7.BJJ-2018-1010.R2.

61. Burnard JL, Parr WCH, Choy WJ, Walsh WR, Mobbs RJ. 3D-printed spine surgery implants: a systematic review of the efficacy and clinical safety profile of patient-specific and off-the-shelf devices. Eur Spine J. 2020;29:1248–1260. DOI: 10.1007/s00586-019-06236-2.

62. Dayer R, Ouellet JA, Saran N. Pelvic fixation for neuromuscular scoliosis deformity correction. Curr Rev Musculoskelet Med. 2012;5:91–101. DOI: 10.1007/s12178-012-9122-2.

63. Moshirfar A, Rand FF, Sponseller PD, Parazin SJ, Khanna AJ, Kebaish KM, Stinson JT, Riley LH 3rd. Pelvic fixation in spine surgery. Historical overview, indications, biomechanical relevance, and current techniques. J Bone Joint Surg Am. 2005;87 Suppl 2:89–106. DOI: 10.2106/JBJS.E.00453.


Рецензия

Для цитирования:


Ветрилэ М.С., Кулешов А.А., Макаров С.Н., Лисянский И.Н., Аганесов Н.А., Захарин В.Р. Позвоночно-тазовая фиксация: современные технические решения. "Хирургия позвоночника". 2021;18(4):101-110. https://doi.org/10.14531/ss2021.4.101-110

For citation:


Vetrile M.S., Kuleshov A.A., Makarov S.N., Lisyansky I.N., Aganesov N.A., Zakharin V.R. Spinopelvic fixation: modern technical solutions. Hirurgiâ pozvonočnika (Spine Surgery). 2021;18(4):101-110. https://doi.org/10.14531/ss2021.4.101-110

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ISSN 1810-8997 (Print)
ISSN 2313-1497 (Online)