PT  - JOURNAL ARTICLE
AU  - Habib, Ahmed
AU  - Muthiah, Nallammai
AU  - Alattar, Ali
AU  - Hoppe, Meagan
AU  - Agarwal, Nitin
AU  - Alan, Nima
AU  - Hamilton, David Kojo
AU  - Ozpinar, Alp
TI  - Direct Iliac Screw vs Sacral-2-Alar-Iliac Screws Technique for Sacropelvic Fixation: Technical Nuances and a Review of the Literature
AID  - 10.14444/8449
DP  - 2023 Apr 13
TA  - International Journal of Spine Surgery
PG  - 8449
4099  - https://www.ijssurgery.com/content/early/2023/04/13/8449.short
4100  - https://www.ijssurgery.com/content/early/2023/04/13/8449.full
AB  - Sacropelvic (SP) fixation is the immobilization of the sacroiliac joint to attain lumbosacral fusion and prevent distal spinal junctional failure. SP fixation is indicated in numerous spinal conditions (eg, scoliosis, multilevel spondylolisthesis, spinal/sacral trauma, tumors, or infections). Many SP fixation techniques have been described in the literature. Currently, the most used surgical techniques for SP fixation are direct iliac screws and sacral-2-alar-iliac screws. There is currently no consensus in the literature on which technique carries more favorable clinical outcomes. In this review, we aim to assess the available data on each technique and discuss their respective advantages and disadvantages. We will also present our experience with a modification of direct iliac screws using a subcrestal approach and outline the future prospects of SP fixation.