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Related Experiment Video

Updated: Dec 30, 2025

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
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The Modified Iliac Screw: An Anatomic Comparison and Technical Guide.

Alexander von Glinski1, Emre Yilmaz2, Basem Ishak3

  • 1Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USA; Seattle Science Foundation, Seattle, Washington, USA; Department of Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bochum, Germany; Hansjörg Wyss Hip and Pelvic Center, Swedish Hospital, Seattle, Washington, USA.

World Neurosurgery
|January 26, 2020
PubMed
Summary
This summary is machine-generated.

A modified iliac screw (MIS) technique offers improved soft tissue coverage compared to traditional methods. This sacropelvic fixation innovation may reduce wound healing complications from prominent hardware.

Keywords:
Iliac screwsLumbar pelvic fixationModified iliac screwScrew prominenceSoft tissue coverage

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Area of Science:

  • Spine surgery
  • Orthopedic implants
  • Surgical techniques

Background:

  • Iliac screws are a common sacropelvic fixation method.
  • Hardware prominence can lead to impaired wound healing.

Purpose of the Study:

  • To introduce a modified iliac screw (MIS) technique with a different entry point.
  • To compare soft tissue coverage and midline distance between MIS and traditional iliac screws.

Main Methods:

  • 12 fresh frozen adult cadavers were used.
  • Measurements included screw head to skin distance and midline distance.
  • Angulation of trajectories was also assessed.

Main Results:

  • MIS showed a greater mean distance from screw head to skin (3.16 cm) compared to traditional iliac screws (2.43 cm).
  • MIS was closer to the midline (3.1 cm) than traditional screws (4.2 cm).
  • Mean angulation was 10°.

Conclusions:

  • The modified iliac screw technique avoids connectors and results in less prominent pelvic fixation.
  • This may help prevent hardware prominence and associated wound healing issues.