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Updated: Jun 6, 2026

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Sacropelvic fixation: techniques and complications.

Khaled M Kebaish1

  • 1Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD 21224–2780, USA. ehenze1@jhmi.edu

Spine
|November 25, 2010
PubMed
Summary

Sacropelvic fixation is crucial for spinal fusion, presenting challenges due to anatomy and biomechanics. Surgeons must understand various techniques, indications, and complications for optimal patient outcomes.

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Area of Science:

  • Spine surgery
  • Orthopedic surgery
  • Biomedical engineering

Background:

  • Fixation at the lumbosacral junction remains a significant challenge in spinal instrumentation.
  • Poor sacral bone quality, complex anatomy, and high biomechanical forces contribute to instrumentation-related issues.
  • Many sacropelvic fixation techniques have been developed, but few are widely adopted due to high complication rates.

Purpose of the Study:

  • To review indications and techniques for sacropelvic fixation.
  • To outline associated complications of different sacropelvic fixation methods.
  • To provide guidance for complex spinal reconstruction.

Main Methods:

  • Literature-based topic review.
  • Review of existing literature and expert opinion.

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Main Results:

  • Long fusions to the sacrum are common indications for sacropelvic fixation.
  • Various techniques exist, each with specific risks and benefits.
  • Complications are associated with different sacropelvic fixation methods.

Conclusions:

  • Sacropelvic fixation has numerous indications, particularly for long fusions.
  • Spinal surgeons must be knowledgeable about available techniques, risks, and complications.
  • Treatment decisions should be individualized based on patient anatomy, abnormalities, and surgeon experience.