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Thread: Fusion to sacrum WITHOUT illiac screws

  1. #1
    Join Date
    Aug 2012
    Location
    San Francicsco Bay Area
    Posts
    127

    Fusion to sacrum WITHOUT illiac screws

    Hi Everyone:

    I consulted by phone today with a surgeon who said he fuses to the sacrum (posterior/anterior) without illiac screws as they cause so many problems. Anyone ever heard of this?

    Thanks,

  2. #2
    Join Date
    May 2012
    Location
    El Centro, CA & Baja California, Mexico
    Posts
    193

    Much in pain - different

    I have been having lots of pain in the back and hips to legs. Did not know that the iliac screws can cause pain. But, now I wonder.
    Gardenia
    Baja California, Mexico & El Centro, Ca
    pre-surgery 75 and 89 - post ?
    Dr. Bridwell Nov 27, 2012 @Barnes Jewish @62yrs
    T11 to Sacrum Dural leak at L2 & L3 ccmail4g@gmail.com

  3. #3
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,794
    Fusion without iliac fixation results in sacral fractures relatively often.
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Dilbert
    I'm sarcastic... what's your super power? --Unknown
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation
    ---------------------------------------------------------------------------------------------------------------------------------------------------
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  4. #4
    Join Date
    Aug 2012
    Location
    San Francicsco Bay Area
    Posts
    127
    Thank you, Linda. Is having a sacral fracture a problem under these circumstances? I know some fractures heal on their own, please elaborate if you can. This was a very well-known Scoliosis surgeon in NYC who told me this. Also, does not having the illiac screws mean there is no pelvic fixation? I'm a little confused.

    If anyone on this forum has had a fusion to sacrum without illiac screws, please also respond.

    Thanks,

  5. #5
    Join Date
    Oct 2014
    Location
    Arizona
    Posts
    112
    I'm six weeks post op with pelvic fixation and I don't have any pain in the pelvic region. My surgeon only did the pelvic screw on one side instead of both and my screw seems to be shorter than I see in many of the xrays. Linda said that only doing one side is fine. Take a look at my most recent xrays and look at other xrays. Ed posted a crazy picture of someone who had FOUR screws into the pelvis on my thread. Maybe you can find a surgeon who is not so aggressive with the pelvic fixation. Those screws are only useful until you fuse so it's not like they are needed to hold you together for a lifetime.

    Liz
    Before 39* lumbar at age 18, progressed to 74* lumbar and 22* thoracic age 55
    ALIF Jan 13, 2015, PLIF Jan 15, 2015 with Dr William Stevens, Honor Health
    Fused T-7 to S-1 with pelvic fixation

    After 38* lumbar

    Xrays
    Before: http://www.scoliosis.org/forum/attac...7&d=1414268930

    After: http://www.scoliosis.org/forum/attac...6&d=1424894360

  6. #6
    Join Date
    Jan 2008
    Location
    Oregon
    Posts
    1,160
    Quote Originally Posted by Tableone View Post
    Thank you, Linda. Is having a sacral fracture a problem under these circumstances? I know some fractures heal on their own, please elaborate if you can. This was a very well-known Scoliosis surgeon in NYC who told me this. Also, does not having the illiac screws mean there is no pelvic fixation? I'm a little confused.
    I know you directed your question to Linda, but I wanted to chime in. I am sure a sacral fracture is extremely painful, so I would consider that a big problem. They can require surgery to stabilize which can require more hardware. It doesn't sound fun at all! Definitely something worthwhile to prevent if possible.
    Gayle, age 49
    Oct 2010 fusion T8-sacrum w/ pelvic fixation
    Feb 2012 lumbar revision for broken rods @ L2-3-4
    Sept 2015 major lumbar A/P revision for broken rods @ L5-S1


    mom of Leah, 15 y/o, Diagnosed '08 with 26* T JIS (age 6)
    5/10 VBS Dr Luhmann Shriners St Louis
    5/16 6 yrs post-op, 24*T/ 22* L, mild increase in curves, watching

    also mom of Torrey, 12 y/o son, 16* T, stable

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