{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T14:02:24Z","timestamp":1793196144802,"version":"4.5.0"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Acta Neurochir"],"DOI":"10.1007\/s00701-026-06778-7","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T17:35:09Z","timestamp":1769103309000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Percutaneous modified iliac screw fixation: technique and clinical experience"],"prefix":"10.1007","volume":"168","author":[{"given":"Soo Hyun","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun Kee","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Do Heum","family":"Yoon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seong Bae","family":"An","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In Bo","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seil","family":"Sohn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"6778_CR1","doi-asserted-by":"publisher","DOI":"10.4274\/jtss.galenos.2020.148","author":"A Arslan","year":"2020","unstructured":"Arslan A, Olguner SK, Istemen I, Acik V, Gezercan Y (2020) Clinical and radiological comparison of spinopelvic fixation methods: s2-alar-iliac screw versus conventional iliac screw in long segment fusion. Journal of Turkish Spinal Surgery. https:\/\/doi.org\/10.4274\/jtss.galenos.2020.148","journal-title":"Journal of Turkish Spinal Surgery"},{"key":"6778_CR2","doi-asserted-by":"publisher","first-page":"253","DOI":"10.3171\/2018.7.SPINE18710","volume":"30","author":"R De la Garza Ramos","year":"2018","unstructured":"De la Garza Ramos R, Nakhla J, Sciubba DM, Yassari R (2018) Iliac screw versus S2 alar-iliac screw fixation in adults: a meta-analysis. J Neurosurg Spine 30:253\u2013258","journal-title":"J Neurosurg Spine"},{"key":"6778_CR3","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-025-08793-1","author":"M\u015e Ek\u015fi","year":"2025","unstructured":"Ek\u015fi M\u015e, Top\u00e7u A, Topalo\u011flu F, Tanriverdi N, Ye\u015filyurt SC, Duymaz UC, Karaka\u015f F, Hazneci J, Topal A, B\u00f6rekci A (2025) Fatty infiltration in the multifidus predicts screw-loosening following short-segment decompression and fusion: proof of why we should protect and rehabilitate the paraspinal muscles. Eur Spine J. https:\/\/doi.org\/10.1007\/s00586-025-08793-1","journal-title":"Eur Spine J"},{"key":"6778_CR4","doi-asserted-by":"publisher","first-page":"776","DOI":"10.1097\/00007632-200204010-00017","volume":"27","author":"A Emami","year":"2002","unstructured":"Emami A, Deviren V, Berven S, Smith JA, Hu SS, Bradford DS (2002) Outcome and complications of long fusions to the sacrum in adult spine deformity: luque-galveston, combined iliac and sacral screws, and sacral fixation. Spine 27:776\u2013786","journal-title":"Spine"},{"key":"6778_CR5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3171\/foc.2001.10.4.11","volume":"10","author":"KT Foley","year":"2001","unstructured":"Foley KT, Gupta SK, Justis JR, Sherman MC (2001) Percutaneous pedicle screw fixation of the lumbar spine. Neurosurg Focus 10:1\u20139","journal-title":"Neurosurg Focus"},{"key":"6778_CR6","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1590\/S1808-1851201413030R107","volume":"13","author":"GVO Garc\u00eda","year":"2014","unstructured":"Garc\u00eda GVO, Soto RO, Uribe EV, Avila JMJ (2014) Lumbopelvic fixation: a surgical alternative for lumbar stability. Coluna\/Columna 13:219\u2013222","journal-title":"Coluna\/Columna"},{"key":"6778_CR7","doi-asserted-by":"crossref","unstructured":"Guler UO, Cetin E, Yaman O, Pellise F, Casademut AV, Sabat MD, Alanay A, Grueso FSP, Acaroglu E, Group ESS (2015) Sacropelvic fixation in adult spinal deformity (ASD); a very high rate of mechanical failure. Eur Spine J 24:1085\u20131091","DOI":"10.1007\/s00586-014-3615-1"},{"key":"6778_CR8","doi-asserted-by":"publisher","first-page":"2245","DOI":"10.1097\/BRS.0b013e3181f5cfae","volume":"35","author":"KM Kebaish","year":"2010","unstructured":"Kebaish KM (2010) Sacropelvic fixation: techniques and complications. Spine 35:2245\u20132251","journal-title":"Spine"},{"key":"6778_CR9","doi-asserted-by":"publisher","first-page":"e149171","DOI":"10.3897\/folmed.67.e149171","volume":"67","author":"II Kehayov","year":"2025","unstructured":"Kehayov II, Kitov BD, Angelova PM, Davarski AN (2025) Computer tomography-assisted 3-dimensional navigation in spine surgery: a narrative review on safety, accuracy, efficacy and reduction of complications. Folia Med 67:e149171","journal-title":"Folia Med"},{"key":"6778_CR10","doi-asserted-by":"publisher","first-page":"1976","DOI":"10.1097\/00007632-200109150-00007","volume":"26","author":"TR Kuklo","year":"2001","unstructured":"Kuklo TR, Bridwell KH, Lewis SJ, Baldus C, Blanke K, Iffrig TM, Lenke LG (2001) Minimum 2-year analysis of sacropelvic fixation and L5\u2013S1 fusion using S1 and iliac screws. Spine 26:1976\u20131983","journal-title":"Spine"},{"key":"6778_CR11","first-page":"799","volume":"82","author":"H Nakashima","year":"2020","unstructured":"Nakashima H, Ishikawa Y, Ando K, Kobayashi K, Ishiguro N, Imagama S (2020) An intraoperative 3D image-based navigation error during cervical pedicle screw insertion. Nagoya J Med Sci 82:799","journal-title":"Nagoya J Med Sci"},{"key":"6778_CR12","doi-asserted-by":"publisher","first-page":"853","DOI":"10.1016\/j.jcot.2020.07.022","volume":"11","author":"A Nanda","year":"2020","unstructured":"Nanda A, Manghwani J, Kluger PJ (2020) Sacropelvic fixation techniques-current update. J Clin Orthop Trauma 11:853\u2013862","journal-title":"J Clin Orthop Trauma"},{"key":"6778_CR13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jocn.2020.07.012","volume":"79","author":"J Ouchida","year":"2020","unstructured":"Ouchida J, Kanemura T, Satake K, Nakashima H, Segi N, Suzuki K, Imagama S (2020) True accuracy of percutaneous pedicle screw placement in thoracic and lumbar spinal fixation with a CT-based navigation system: intraoperative and postoperative assessment of 763 percutaneous pedicle screws. J Clin Neurosci 79:1\u20136","journal-title":"J Clin Neurosci"},{"key":"6778_CR14","doi-asserted-by":"publisher","first-page":"975","DOI":"10.1007\/s00701-016-2772-x","volume":"158","author":"S Sohn","year":"2016","unstructured":"Sohn S, Chung CK, Kim YJ, Kim CH, Park SB, Kim H (2016) Modified iliac screw fixation: technique and clinical application. Acta Neurochir 158:975\u2013980","journal-title":"Acta Neurochir"},{"key":"6778_CR15","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1016\/j.jocn.2018.03.002","volume":"52","author":"S Sohn","year":"2018","unstructured":"Sohn S, Park TH, Chung CK, Kim YJ, Jang JW, Han I-b, Lee SJ (2018) Biomechanical characterization of three iliac screw fixation techniques: a finite element study. J Clin Neurosci 52:109\u2013114","journal-title":"J Clin Neurosci"},{"key":"6778_CR16","doi-asserted-by":"publisher","first-page":"60","DOI":"10.21182\/jmisst.2021.00304","volume":"7","author":"U Srikantha","year":"2022","unstructured":"Srikantha U, Lokanath YK, Hari A, Somasundar D, Varma RG (2022) Minimally invasive iliac screw insertion: clinical case series and technical note. J Minim Invasive Spine Surg Tech 7:60\u201367","journal-title":"J Minim Invasive Spine Surg Tech"},{"key":"6778_CR17","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1016\/j.wneu.2020.11.112","volume":"146","author":"T Tanasansomboon","year":"2021","unstructured":"Tanasansomboon T, Tejapongvorachai T, Yingsakmongkol W, Limthongkul W, Kotheeranurak V, Singhatanadgige W (2021) Minimally invasive percutaneous modified iliac screw placement using intraoperative navigation: a technical note. World Neurosurg 146:240\u2013245","journal-title":"World Neurosurg"},{"key":"6778_CR18","doi-asserted-by":"publisher","first-page":"e481","DOI":"10.1016\/j.wneu.2021.07.065","volume":"154","author":"A Von Glinski","year":"2021","unstructured":"Von Glinski A, Pierre C, Frieler S, Mahoney JM, Harris JA, Amin DB, Allall M, Bucklen BS, Schildhauer TA, Oskouian RJ (2021) Fixation strength of modified iliac screw trajectory compared to traditional iliac and S2 alar-iliac trajectories: a cadaveric study. World Neurosurg 154:e481\u2013e487","journal-title":"World Neurosurg"},{"key":"6778_CR19","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1186\/s12891-022-05107-0","volume":"23","author":"F Xu","year":"2022","unstructured":"Xu F, Zhou S, Zou D, Li W, Sun Z, Jiang S (2022) The relationship between S1 screw loosening and postoperative outcome in patients with degenerative lumbar scoliosis. BMC Musculoskelet Disord 23:186","journal-title":"BMC Musculoskelet Disord"},{"key":"6778_CR20","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2023.1148342","volume":"11","author":"H Yang","year":"2023","unstructured":"Yang H, Pan A, Hai Y, Cheng F, Ding H, Liu Y (2023) Biomechanical evaluation of multiple pelvic screws and multirod construct for the augmentation of lumbosacral junction in long spinal fusion surgery. Front Bioeng Biotechnol 11:1148342","journal-title":"Front Bioeng Biotechnol"},{"key":"6778_CR21","doi-asserted-by":"publisher","first-page":"e296","DOI":"10.1016\/j.wneu.2018.02.009","volume":"113","author":"E Yilmaz","year":"2018","unstructured":"Yilmaz E, Abdul-Jabbar A, Tawfik T, Iwanaga J, Schmidt CK, Chapman J, Blecher R, Tubbs RS, Oskouian RJ (2018) S2 alar-iliac screw insertion: technical note with pictorial guide. World Neurosurg 113:e296\u2013e301","journal-title":"World Neurosurg"},{"key":"6778_CR22","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1186\/s12891-024-07298-0","volume":"25","author":"S Zhou","year":"2024","unstructured":"Zhou S, Xu F, Sun Z, Jiang S, Li Z, Han G, Li W (2024) Preoperative and follow-up variations of psoas major muscle are related to S1 screw loosening in patients with degenerative lumbar spinal stenosis. BMC Musculoskelet Disord 25:418","journal-title":"BMC Musculoskelet Disord"}],"container-title":["Acta Neurochirurgica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00701-026-06778-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-026-06778-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-026-06778-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T07:20:16Z","timestamp":1769152816000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00701-026-06778-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,22]]},"references-count":22,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6778"],"URL":"https:\/\/doi.org\/10.1007\/s00701-026-06778-7","relation":{},"ISSN":["0942-0940"],"issn-type":[{"value":"0942-0940","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,22]]},"assertion":[{"value":"4 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Institutional Review Board (IRB) of CHA University College of Medicine (approval number: 2017\u201304-051\u201302). All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The requirement for written informed consent was waived due to the retrospective nature of the study. However, additional informed consent was obtained from all individual participants for whom identifying information is included in this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human ethics and consent to participate"}},{"value":"The requirement for informed consent was waived by the Institutional Review Board due to the retrospective nature of the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors have no personal financial or institutional interest in any of the drugs, materials, or devices described in this article.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosure"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interest"}}],"article-number":"20"}}