Hani Chanbour, Steven G Roth, Jeffrey W Chen, Sasidhar Uppuganti, Jeffry S Nyman, Mir Amaan Ali, Christopher M Bonfield, Amir M Abtahi, Byron F Stephens, Scott L Zuckerman
BACKGROUND AND OBJECTIVES: Optimal iliac screw position in relation to the sciatic notch remains unknown. In 12 cadavers undergoing S2 alar-iliac (S2AI) screw placement, we tested the pullout strength of screws placed in proximity to the sciatic notch (≤5 mm) vs farther away from the sciatic notch (>5 mm). METHODS: A biomechanical, cadaver-based study was performed on 12 cadavers undergoing bilateral S2AI screw insertion. The position of the S2AI screw regarding the sciatic notch was dichotomized as ≤5 mm from the sciatic notch on the right side and >5 mm on the left side, confirmed using c-arm fluoroscopy...
April 23, 2024: Operative Neurosurgery (Hagerstown, Md.)