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The aim of this study is to describe a surgical procedure proposed for high-grade isthmic spondylolisthesis, with intraoperative reduction using Jackson's intrasacral fixation. The procedure is performed using a single posterior approach. The intraoperative correction of the deformity is obtained by sacral dome resection and reduction of the lumbosacral kyphosis using Jackson's fixation to rotate the sacrum. After sagittal balance restoration, L4-S1 circumferential fusion is performed with interbody cages. The technique is effective in the restoration of spinal and pelvic parameters of sagittal balance, and optimal conditions for fusion are obtained. The use of Jackson's intrasacral fixation provides the strong stability needed to correct the lumbosacral deformity, with little neurological risk during intraoperative reduction.
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Radiological and functional outcomes of high-grade spondylolisthesis treated by intrasacral fixation, dome resection and circumferential fusion: a retrospective series of 20 consecutive cases with a minimum of 2 years follow-up.
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 PDFIntrasacral rod fixation for pediatric lumbopelvic fusion.
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.
Jackson's intrasacral fixation in the management of high-grade isthmic spondylolisthesis.
J Pediatr Orthop B
January 2007
Department of Pediatric Orthopedics, Hôspital Robert Debré, Sérurier, Paris, France.
The aim of this study is to describe a surgical procedure proposed for high-grade isthmic spondylolisthesis, with intraoperative reduction using Jackson's intrasacral fixation. The procedure is performed using a single posterior approach. The intraoperative correction of the deformity is obtained by sacral dome resection and reduction of the lumbosacral kyphosis using Jackson's fixation to rotate the sacrum.
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Spine (Phila Pa 1976)
October 1998
Department of Orthopaedic Surgery, Robert Debré Hospital, Paris, France.
Study Design: This study directly measures the ideal point of insertion and direction of sacral screws in the Jackson intrasacral fixation.
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Summary Of Background Data: Screw and rod insertion into the sacrum as described by Jackson requires careful intraoperative fluoroscopic or radiographic control.
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