TY - JOUR
T1 - Historical Perspectives on the Evolution of Spino-Pelvic Fixation and its Implications on Clinical Care A Narrative Review
AU - von Glinski, Alexander
AU - Yilmaz, Emre
AU - Godolias, Periklis
AU - Benneker, Lorin
AU - Oner, F. C.
AU - Kandziora, Frank
AU - Schroeder, Gregory
AU - Schnake, Klaus
AU - Dvorak, Marcel
AU - Rajasekaran, Shanmuganathan
AU - El-Sharkawi, Mohammad
AU - Vaccaro, Alexander
AU - Bransford, Richard
AU - Schildhauer, Thomas A.
AU - Chapman, Jens R.
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2025/1
Y1 - 2025/1
N2 - Study Design: Broad narrative review. Objectives: To review and summarize the evolution of spinopelvic fixation (SPF) and its implications on clinical care. Methods: A thorough review of peer-reviewed literature was performed on the historical evolution of sacropelvic fixation techniques and their respective advantages and disadvantages. Results: The sacropelvic junction has been a long-standing challenge due to a combination of anatomic idiosyncrasies and very high biomechanical forces. While first approaches of fusion were determinated by many material and surgical technique-related limitations, the modern idea of stabilization of the lumbosacral junction was largely initiated by the inclusion of the ilium into lumbosacral fusion. While there is a wide spectrum of indications for SPF the chosen technique remains is defined by the individual pathology and surgeons’ preference. Conclusion: By a constant evolution of both instrumentation hardware and surgical technique better fusion rates paired with improved clinical results could be achieved.
AB - Study Design: Broad narrative review. Objectives: To review and summarize the evolution of spinopelvic fixation (SPF) and its implications on clinical care. Methods: A thorough review of peer-reviewed literature was performed on the historical evolution of sacropelvic fixation techniques and their respective advantages and disadvantages. Results: The sacropelvic junction has been a long-standing challenge due to a combination of anatomic idiosyncrasies and very high biomechanical forces. While first approaches of fusion were determinated by many material and surgical technique-related limitations, the modern idea of stabilization of the lumbosacral junction was largely initiated by the inclusion of the ilium into lumbosacral fusion. While there is a wide spectrum of indications for SPF the chosen technique remains is defined by the individual pathology and surgeons’ preference. Conclusion: By a constant evolution of both instrumentation hardware and surgical technique better fusion rates paired with improved clinical results could be achieved.
KW - fixation
KW - ilium
KW - lumbopelvic
KW - pelvic
KW - S2AI
KW - sacropelvic
UR - http://www.scopus.com/inward/record.url?scp=85204196618&partnerID=8YFLogxK
U2 - 10.1177/21925682241283726
DO - 10.1177/21925682241283726
M3 - Review article
C2 - 39259943
AN - SCOPUS:85204196618
SN - 2192-5682
VL - 15
SP - 228
EP - 240
JO - Global Spine Journal
JF - Global Spine Journal
IS - 1
ER -