Objective: To assess the biomechanical properties of Jackson intrasacral fixation technique and other lumbersacral internal fixation systems, and to provide the basis of biomechanics for the clinical application of Jackson technique.
Methods: The biomechanical properties of Dick, RF, Steffee, CD, and Jackson technique were studied by testing the inflexion, extension, compression, torsion, and lateral bending in 15 calf fresh-frozen specimens and 5 fresh-frozen human cadavaric specimens, which were divided into 5 groups with similar bone density.
Results: Jackson intrasacral fixation device was stiffer than any other devices. On the "load-displacement" curve, Jackson intrasacral fixation device was predominant compared with other devices (P < 0.01).
Conclusion: Jackson intrasacral fixation system is an effective device for lumbosacral fixation.
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Eur Spine J
August 2018
Department of Pediatric Orthopaedics, Robert Debré Hospital, Paris 7 University, AP-HP, 48 boulevard Sérurier, 75019, Paris, France.
Purpose: Major concern during surgery for high-grade spondylolisthesis (HGS) is to reduce lumbosacral kyphosis and restore sagittal alignment. Despite the numerous methods described, lumbosacral fixation in HGS is a challenging technique associated with high complication rate. Few series have described outcomes and most of the results are limited to lumbosacral correction without global sagittal alignment analysis.
View Article and Find Full Text PDFJ Bone Joint Surg Am
September 2015
Department of Orthopaedic Surgery, The Johns Hopkins University, 601 North Caroline Street, Baltimore, MD 21287. E-mail address for K.M. Kebaish:
Achieving solid osseous fusion across the lumbosacral junction has historically been, and continues to be, a challenge in spine surgery. Robust pelvic fixation plays an integral role in achieving this goal. The goals of this review are to describe the history of and indications for spinopelvic fixation, examine conventional spinopelvic fixation techniques, and review the newer S2-alar-iliac technique and its outcomes in adult and pediatric patients with spinal deformity.
View Article and Find Full Text PDFScoliosis
July 2014
Department of Orthopedic Surgery, National Hospital Organization, Murayama Medical Center, 2-37-1, Gakuen, Musashimurayama, Tokyo 208-0011, Japan.
Background: The use of intrasacral rods has been previously reported for posterior lumbosacral fixation. However, problems associated with this technique include poor stability of the rod in the sacrum, difficulty in contouring the rod to fit the lateral sacral mass, and the complicated assembly procedure for the rod and pedicle screws in the thoracolumbar segments after insertion of the rod into the sacrum.
Methods: We used a screw with a polyaxial head instead of an intrasacral rod, which was inserted into the lateral sacral mass and assembled to the rod connected cephalad to pedicle screws.
Eur Spine J
July 2014
Department of Pediatric Orthopaedic, Robert Debré Hospital, AP-HP, Paris Diderot University, 48 Bd Sérurier, 75019, Paris, France,
Purpose: This paper reports the authors' 19 years experience with pediatric intrasacral rod fixation.
Methods: After insertion of two cannulated screws in S1 with and an original template guiding them into the anterior third of the endplate, two short fusion rods were inserted into the sacrum according to Jackson's technique distally to S3. In neuromuscular scoliosis, pelvic obliquity was reduced by connecting the proximal and distal constructs, distraction or compression, and in situ rod bending.
Orthop Traumatol Surg Res
November 2013
Université François-Rabelais, Hôpital régional universitaire de Tours, Tours, France.
Unlabelled: Treating patients with severe neuromuscular scoliosis by long spinal fusion improves their quality of life and provides significant comfort for the patient and caregivers. But lumbosacral (L5-S1) fusion is challenging in these patients because of the significant deformities that result in poor bone anchoring quality and a risk of impingement between the skin and implants. In 1993, Jackson described a L5-S1 fusion technique using S1 pedicle screws and intrasacral rods (implanted under X-ray guidance) that are linked to the construct above with connectors.
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