Comparative Clinical Efficacy and Safety of Sacral-2-Alar Iliac Screw Versus Iliac Screw in the Lumbosacral Reconstruction of Spondylodiscitis

作者全名："Zhong, Dian; Ke, ZhenYong; Wang, LiYuan; Liu, Yang; Lin, Lu; Zeng, Wei; Zhou, WenYi; Wang, Yang"

作者地址："[Zhong, Dian; Ke, ZhenYong; Wang, LiYuan; Liu, Yang; Lin, Lu; Zeng, Wei; Zhou, WenYi; Wang, Yang] Chongqing Med Univ, Affiliated Hosp 2, Dept Orthoped Surg, Chongqing, Peoples R China"

通信作者："Wang, Y (通讯作者)，Chongqing Med Univ, Affiliated Hosp 2, Dept Orthoped Surg, Chongqing, Peoples R China."

来源：WORLD NEUROSURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000991937400001

JCR分区：Q2

影响因子：1.9

年份：2023

卷号：171

期号：　

开始页：E237

结束页：E244

文献类型：Article

关键词：Iliac screw; Lumbosacral reconstruction; Sacral-2-alar iliac screw; Spondylodiscitis

摘要："-OBJECTIVE: This study aimed to evaluate the clinical efficacy and safety of S2-alar-iliac (S2AI) and iliac screw (IS) techniques in treating lumbosacral spondylodiscitis. -METHODS: Between January 2020 and January 2022, 28 patients suffering from lumbosacral spondylodiscitis un-derwent lumbosacral fixation and were divided into the IS group (14 patients) and the S2AI group (14 patients). Sur-gical details, demographic characteristics, preoperative and postoperative Oswestry Disability Index, visual analog scale, and complications were analyzed. -RESULTS: Twenty-eight patients were included in this study, including 14 patients treated with IS and 14 patients treated with S2AI. The 2 groups were similar in sex, age, follow-up period, total drainage volume, hospitalization stay, and fusion time. (P > 0.05) The estimated blood loss and surgical time of S2AI during surgery were significantly lower than those of IS. (P < 0.05) The visual analog scale and Oswestry Disability Index scores significantly improved in both groups from preoperative to the last follow-up. Sacroiliac joint pain was found in both groups in the follow-up period, but the incidence was not signifi-cantly different (P = 0.663). Compared with the IS approach, the incidence of symptomatic screw prominence was lower in the S2AI group, but the difference was not significant. (P = 0.088). -CONCLUSIONS: S2AI, as well as IS techniques, can achieve promising results for reconstructing lumbosacral stability in spondylodiscitis. In addition, the S2AI technique can also reduce surgical trauma and operation time."

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