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Updated: Jun 13, 2026

Clinical Efficacy of Ultrasound-Assisted Scoliosis-Specific Exercise in Mild-Grade Adolescent Idiopathic Scoliosis
Published on: December 2, 2025
Correction of sagittal balance within the iliosacral joints
M Ruf1, I L Tiripa2, T Pitzen2
1Center for Spine Surgery, Orthopedics, and Traumatology, SRH Klinikum Karlsbad Langensteinbach, Guttmannstrasse 1, 76307, Karlsbad, Germany. Michael.ruf@srh.de.
Purpose:
To present an innovative technique to correct a complex spinopelvic deformity by addressing the main sagittal deformity within the sacroiliac joints.
Methods:
Clinical case report of a 17-year-old female twin with a complex spine deformity in a VACTERL syndrome. Surgery involved ligament release and mobilization within the sacroiliac joints, followed by rotation of the sacrum in the sagittal plane and combined with correction of lumbar hyperlordosis.
Results:
Posture was significantly improved immediately after surgery and maintained 3 years postop.
Conclusion:
Ligament release, mobilization within the sacroiliac joints, and sacrum repositioning are proposed as an innovative technique to correct a complex spine deformity with its origin within the pelvis.
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