Rescue Pelvic Fixation in a Patient with Sacral-2-Alar-Iliac and Triangular Sacroiliac Joint Fusion (Bedrock) Instrumentation

ElsevierVolume 169, January 2023, Pages 10-11World Neurosurgery

The purpose of this report is to demonstrate the creation of a 4-rod lumbosacral construct, when “stacked” sacral-2-alar-iliac (S2AI) screws are not possible due to a concurrent treatment of sacroiliitis with a posterior approach sacroiliac joint fusion device. This technique uses a combined S2AI and subcrestal iliac approach to achieve the 4-rod lumbosacral construct, while simultaneously biomechanically supporting the S2AI screws and treating the sacroiliitis.

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