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Updated: May 1, 2026
An Anesthesia, Surgery, and Harvest Method for the Evaluation of Transpedicular Screws Using an In Vivo Porcine Lumbar Spine Model
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Historical Perspectives on the Evolution of Spino-Pelvic Fixation and its Implications on Clinical Care A Narrative
Alexander von Glinski1,2,3,4, Emre Yilmaz1,2,3, Periklis Godolias1,2,3
1Swedish Neuroscience Institute, Swedish Medical Center - Cherry Hill Campus, Seattle, WA, USA.
Study Design:
Broad narrative review.
Objectives:
To review and summarize the evolution of spinopelvic fixation (SPF) and its implications on clinical care.
Methods:
A thorough review of peer-reviewed literature was performed on the historical evolution of sacropelvic fixation techniques and their respective advantages and disadvantages.
Results:
The sacropelvic junction has been a long-standing challenge due to a combination of anatomic idiosyncrasies and very high biomechanical forces. While first approaches of fusion were determinated by many material and surgical technique-related limitations, the modern idea of stabilization of the lumbosacral junction was largely initiated by the inclusion of the ilium into lumbosacral fusion. While there is a wide spectrum of indications for SPF the chosen technique remains is defined by the individual pathology and surgeons' preference.
Conclusion:
By a constant evolution of both instrumentation hardware and surgical technique better fusion rates paired with improved clinical results could be achieved.
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