The treatment of lumbosacral transitional vertebra using sacroiliac screws: clinical anatomic survey

LIU Wei, DU Xin-Ru, YANG Li-Hui, WANG Rui, ZHANG Ji-Zong, KONG Xiao-Chuan, AN Li-Kun

Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (5) : 520-523.

Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (5) : 520-523.

The treatment of lumbosacral transitional vertebra using sacroiliac screws: clinical anatomic survey

  • LIU Wei1,DU Xin-ru1, YANG Li-hui1, WANG Rui1, ZHANG Ji-zong2, KONG Xiao-chuan1, AN Li-kun1
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Abstract

Objective To study morphologic characteristics of S1 and S2 pedicles of sacrum co-existing lumbosacral transitional vertebra, and provide anatomic basis for sacroiliac screw fixation. Methods 79 specimens were selected and measured in this study. Anatomic measurements included the anteroposterior diameter of S1, the height and transverse diameter of S1 and S2, the anterior and posterior heights of S1and S2 pedicles, the width of S1 and S2 pedicles, and the depth and the angle of screw in S1 and S2. Results For normal specimens, anterior heights of S1 and S2 pedicles were about (18.1±3.8)mm and (12.4±2.3)mm,the posterior heights (20.6±3.6)mm and (14.34±2.9)mm, the width (27.7±3.1)mm and (22.2±3.1)mm;For typeⅡ specimens, anterior heights of S1 and S2 pedicles were about (19.9±2.0)mm and (10.4±1.5)mm,the posterior heights (19.2±2.6)mm and (14.4±2.4)mm,the width (29.9±2.2)mm and (19.5±2.7)mm;For type Ⅲ specimens, anterior heights (18.5±3.0)mm and (9.5±2.0)mm,the postreior heights (16.9±3.1)mm and (14.0±3.0)mm,the width (27.8±2.2)mm and (18.6±3.4)mm respectively. The size of normal S1 pedicle was less than type Ⅱ,however, that of type Ⅲ was similar to the normal. The size of normal S2 pedicle exceeded that of type Ⅱ and type Ⅲ. Conclusions sacroiliac screws fixation is reliable for treating lumbosacral transitional vertebre. One or two screws can be hold in S1 pedicle, however, only one screw can be hold in S2 pedicle.

Key words

Lumbosacral transitional vertebre / Sacroiliac screws / Pedicle / Sacrum

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LIU Wei, DU Xin-Ru, YANG Li-Hui, WANG Rui, ZHANG Ji-Zong, KONG Xiao-Chuan, AN Li-Kun. The treatment of lumbosacral transitional vertebra using sacroiliac screws: clinical anatomic survey[J]. Chinese Journal of Clinical Anatomy. 2011, 29(5): 520-523

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