Peculiarities of spinopelvic fixation in deformations and traumatic injuries of the spine

AIM: to evaluate the effectiveness of spinal pelvic fixation with screws inserted through S2 vertebra into ilium (S2AIS technique) and use individual support plates.
 METHODS. The analysis results performing spinal-pelvic in 74 patients various pathologies spine column traumatic injuries (66 S2AIS technique, 8 individually made implants) was carried out.
 RESULTS. long-term follow-up period for patient averaged 23.5 months (from 6 48 months). In group using method, absence complications, requiring repeated treatment, stable noted 53 cases (78.7%). overall incidence malpositions out total number established 4.3%; only one case (0.7%) required reoperation. Fracture metal implant rod at L5-S1 level (15.2%), fracture (5%) instability resorption bone tissue around S1 (3%). With plates, spinopelvic achieved 5 cases; three cases, implants had be removed.
 CONCLUSION. Installation iliac technique is optimal method fixation, allowing reliable minimal complications. where traditional methods are impossible or technically difficult, customized possible.