Historical Perspectives on the Evolution of Spino-Pelvic Fixation and its Implications on Clinical Care A Narrative Review.

von Glinski, Alexander; Yilmaz, Emre; Godolias, Periklis; Benneker, Lorin; Oner, F. C.; Kandziora, Frank; Schroeder, Gregory; Schnake, Klaus; Dvorak, Marcel; Rajasekaran, Shanmuganathan; El-Sharkawi, Mohammad; Vaccaro, Alexander; Bransford, Richard; Schildhauer, Thomas A.; Chapman, Jens R.

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.

CLINICAL medicine; ILIUM; OPERATIVE surgery; EXPERIMENTAL design; SURGEONS

Global Spine Journal, 2025, Vol 15, Issue 1, p228

2192-5682

Academic Journal

10.1177/21925682241283726