{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T08:46:35Z","timestamp":1775119595579,"version":"3.50.1"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T00:00:00Z","timestamp":1611532800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T00:00:00Z","timestamp":1611532800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spine Deform"],"published-print":{"date-parts":[[2021,7]]},"DOI":"10.1007\/s43390-021-00287-6","type":"journal-article","created":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T10:06:58Z","timestamp":1611569218000},"page":"1115-1123","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Iliac screw instrumentation to the pelvis in children with neuromuscular and syndromic scoliosis. No lateral connectors and respect sagittal balance"],"prefix":"10.1007","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5240-5841","authenticated-orcid":false,"given":"Zhenkai","family":"Wu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0620-4421","authenticated-orcid":false,"given":"Richard M.","family":"Schwend","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2866-1500","authenticated-orcid":false,"given":"John T.","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4467-8185","authenticated-orcid":false,"given":"Joanne Abby M.","family":"Marasigan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nigel J.","family":"Price","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,1,25]]},"reference":[{"issue":"21","key":"287_CR1","doi-asserted-by":"publisher","first-page":"2308","DOI":"10.1097\/00007632-199811010-00012","volume":"23","author":"ER Benson","year":"1998","unstructured":"Benson ER, Thomson JD, Smith BG, Banta JV (1998) Results and morbidity in a consecutive series of patients undergoing spinal fusion for neuromuscular scoliosis. Spine (Phila Pa 1976) 23(21):2308\u20132317","journal-title":"Spine (Phila Pa 1976)"},{"issue":"3","key":"287_CR2","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1016\/j.nec.2018.03.009","volume":"29","author":"S Berven","year":"2018","unstructured":"Berven S, Wadhwa R (2018) Sagittal alignment of the lumbar spine. Neurosurg Clin N Am 29(3):331\u2013339","journal-title":"Neurosurg Clin N Am"},{"issue":"4","key":"287_CR3","doi-asserted-by":"publisher","first-page":"548","DOI":"10.2106\/00004623-198971040-00011","volume":"71","author":"O Boachie-Adjei","year":"1989","unstructured":"Boachie-Adjei O, Lonstein JE, Winter RB, Koop S, vanden Brink K, Denis F (1989) Management of neuromuscular spinal deformities with Luque segmental instrumentation. J Bone Jt Surg Am 71(4):548\u2013562","journal-title":"J Bone Jt Surg Am"},{"issue":"1","key":"287_CR4","doi-asserted-by":"publisher","first-page":"32","DOI":"10.2106\/00004623-198971010-00007","volume":"71","author":"MJ Broom","year":"1989","unstructured":"Broom MJ, Banta JV, Renshaw TS (1989) Spinal fusion augmented by luque-rod segmental instrumentation for neuromuscular scoliosis. J Bone Jt Surg Am 71(1):32\u201344","journal-title":"J Bone Jt Surg Am"},{"issue":"17","key":"287_CR5","doi-asserted-by":"publisher","first-page":"1595","DOI":"10.1097\/BRS.0b013e3181bdad89","volume":"35","author":"KJ Cho","year":"2010","unstructured":"Cho KJ, Suk SI, Park SR, Kim JH, Kang SB, Kim HS, Oh SJ (2010) Risk factors of sagittal decompensation after long posterior instrumentation and fusion for degenerative lumbar scoliosis. Spine (Phila Pa 1976) 35(17):1595\u20131601","journal-title":"Spine (Phila Pa 1976)"},{"issue":"6","key":"287_CR6","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1016\/j.clinbiomech.2014.04.016","volume":"29","author":"F Desrochers-Perrault","year":"2014","unstructured":"Desrochers-Perrault F, Aubin CE, Wang X, Schwend RM (2014) Biomechanical analysis of iliac screw fixation in spinal deformity instrumentation. Clin Biomech (Bristol, Avon) 29(6):614\u2013621","journal-title":"Clin Biomech (Bristol, Avon)"},{"issue":"7","key":"287_CR7","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 (Phila Pa 1976) 27(7):776\u2013786","journal-title":"Spine (Phila Pa 1976)"},{"issue":"3","key":"287_CR8","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1016\/j.jspd.2014.01.002","volume":"2","author":"S Garg","year":"2014","unstructured":"Garg S, Holland C, LaGreca J, McNair B, Erickson M (2014) Predicting failure of iliac fixation in neuromuscular spine deformity. Spine Deform 2(3):214\u2013218","journal-title":"Spine Deform"},{"issue":"5","key":"287_CR9","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.1007\/s00586-014-3615-1","volume":"24","author":"UO Guler","year":"2015","unstructured":"Guler UO, Cetin E, Yaman O, Pellise F, Casademut AV, Sabat MD, Alanay A, Grueso FS, Acaroglu E (2015) Sacropelvic fixation in adult spinal deformity (ASD); a very high rate of mechanical failure. Eur Spine J 24(5):1085\u20131091","journal-title":"Eur Spine J"},{"issue":"6","key":"287_CR10","doi-asserted-by":"publisher","first-page":"875","DOI":"10.1016\/j.spinee.2017.02.001","volume":"17","author":"DG Hoernschemeyer","year":"2017","unstructured":"Hoernschemeyer DG, Pashuck TD, Pfeiffer FM (2017) Analysis of the s2 alar-iliac screw as compared with the traditional iliac screw: does it increase stability with sacroiliac fixation of the spine? Spine J 17(6):875\u2013879","journal-title":"Spine J"},{"issue":"15","key":"287_CR11","doi-asserted-by":"publisher","first-page":"E482","DOI":"10.1097\/BRS.0b013e31817c64d5","volume":"33","author":"TR Kuklo","year":"2008","unstructured":"Kuklo TR, Dmitriev AE, Cardoso MJ, Lehman RA Jr, Erickson M, Gill NW (2008) Biomechanical contribution of transverse connectors to segmental stability following long segment instrumentation with thoracic pedicle screws. Spine (Phila Pa 1976) 33(15):E482\u2013E487","journal-title":"Spine (Phila Pa 1976)"},{"issue":"21","key":"287_CR12","doi-asserted-by":"publisher","first-page":"2312","DOI":"10.1097\/00007632-200211010-00003","volume":"27","author":"NH Lebwohl","year":"2002","unstructured":"Lebwohl NH, Cunningham BW, Dmitriev A, Shimamoto N, Gooch L, Devlin V, Boachie-Adjei O, Wagner TA (2002) Biomechanical comparison of lumbosacral fixation techniques in a calf spine model. Spine (Phila Pa 1976) 27(21):2312\u20132320","journal-title":"Spine (Phila Pa 1976)"},{"issue":"4","key":"287_CR13","doi-asserted-by":"publisher","first-page":"648","DOI":"10.1016\/j.spinee.2017.08.253","volume":"18","author":"MC Lee","year":"2018","unstructured":"Lee MC, Jarvis C, Solomito MJ, Thomson JD (2018) Comparison of S2-Alar and traditional iliac screw pelvic fixation for pediatric neuromuscular deformity. Spine J 18(4):648\u2013654","journal-title":"Spine J"},{"issue":"2","key":"287_CR14","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1007\/s005860050038","volume":"7","author":"J Legaye","year":"1998","unstructured":"Legaye J, Duval-Beaup\u00e8re G, Hecquet J, Marty C (1998) Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J 7(2):99\u2013103","journal-title":"Eur Spine J"},{"issue":"6","key":"287_CR15","doi-asserted-by":"publisher","first-page":"742","DOI":"10.1097\/01241398-199011000-00007","volume":"10","author":"WJ Maloney","year":"1990","unstructured":"Maloney WJ, Rinsky LA, Gamble JG (1990) Simultaneous correction of pelvic obliquity, frontal plane, and sagittal plane deformities in neuromuscular scoliosis using a unit rod with segmental sublaminar wires: a preliminary report. J Pediatr Orthop 10(6):742\u2013749","journal-title":"J Pediatr Orthop"},{"issue":"3","key":"287_CR16","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1016\/S0030-5898(05)70096-1","volume":"30","author":"RE McCarthy","year":"1999","unstructured":"McCarthy RE (1999) Management of neuromuscular scoliosis. Orthop Clin N Am 30(3):435\u2013449","journal-title":"Orthop Clin N Am"},{"issue":"15","key":"287_CR17","doi-asserted-by":"publisher","first-page":"1722","DOI":"10.1097\/00007632-199708010-00007","volume":"22","author":"LT Miladi","year":"1997","unstructured":"Miladi LT, Ghanem IB, Draoui MM, Zeller RD, Dubousset JF (1997) Iliosacral screw fixation for pelvic obliquity in neuromuscular scoliosis. A long-term follow-up study. Spine (Phila Pa 1976) 22(15):1722\u20131729","journal-title":"Spine (Phila Pa 1976)"},{"issue":"7","key":"287_CR18","doi-asserted-by":"publisher","first-page":"556","DOI":"10.2106\/JBJS.17.00621","volume":"100","author":"F Miyanji","year":"2018","unstructured":"Miyanji F, Nasto LA, Sponseller PD, Shah SA, Samdani AF, Lonner B, Yaszay B, Clements DH, Narayanan U, Newton PO (2018) Assessing the risk-benefit ratio of scoliosis surgery in cerebral palsy: surgery is worth it. J Bone Jt Surg Am 100(7):556\u2013563","journal-title":"J Bone Jt Surg Am"},{"issue":"3","key":"287_CR19","doi-asserted-by":"publisher","first-page":"258","DOI":"10.1097\/BPO.0000000000000254","volume":"35","author":"KS Myung","year":"2015","unstructured":"Myung KS, Lee C, Skaggs DL (2015) Early pelvic fixation failure in neuromuscular scoliosis. J Pediatr Orthop 35(3):258\u2013265","journal-title":"J Pediatr Orthop"},{"issue":"4","key":"287_CR20","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1097\/01241398-199207000-00009","volume":"12","author":"JB Neustadt","year":"1992","unstructured":"Neustadt JB, Shufflebarger HL, Cammisa FP (1992) Spinal fusions to the pelvis augmented by Cotrel-Dubousset instrumentation for neuromuscular scoliosis. J Pediatr Orthop 12(4):465\u2013469","journal-title":"J Pediatr Orthop"},{"issue":"11","key":"287_CR21","doi-asserted-by":"publisher","first-page":"E314","DOI":"10.1097\/01.brs.0000217619.57333.96","volume":"31","author":"DB Pateder","year":"2006","unstructured":"Pateder DB, Park YS, Kebaish KM, Cascio BM, Buchowski JM, Song EW, Shapiro MB, Kostuik JP (2006) Spinal fusion after revision surgery for pseudarthrosis in adult scoliosis. Spine (Phila Pa 1976) 31(11):E314\u2013E319","journal-title":"Spine (Phila Pa 1976)"},{"issue":"20","key":"287_CR22","doi-asserted-by":"publisher","first-page":"2392","DOI":"10.1097\/01.brs.0000238973.13294.16","volume":"31","author":"MW Peelle","year":"2006","unstructured":"Peelle MW, Lenke LG, Bridwell KH, Sides B (2006) Comparison of pelvic fixation techniques in neuromuscular spinal deformity correction: Galveston rod versus iliac and lumbosacral screws. Spine (Phila Pa 1976) 31(20):2392\u20138 discussion 2399","journal-title":"Spine (Phila Pa 1976)"},{"issue":"Suppl 5","key":"287_CR23","doi-asserted-by":"publisher","first-page":"609","DOI":"10.1007\/s00586-011-1928-x","volume":"20","author":"P Roussouly","year":"2011","unstructured":"Roussouly P, Pinheiro-Franco JL (2011) Biomechanical analysis of the spino-pelvic organization and adaptation in pathology. Eur Spine J 20(Suppl 5):609\u2013618","journal-title":"Eur Spine J"},{"issue":"7","key":"287_CR24","doi-asserted-by":"publisher","first-page":"1384","DOI":"10.1007\/s00586-013-3132-7","volume":"23","author":"M Senteler","year":"2014","unstructured":"Senteler M, Weisse B, Snedeker JG, Rothenfluh DA (2014) Pelvic incidence-lumbar lordosis mismatch results in increased segmental joint loads in the unfused and fused lumbar spine. Eur Spine J 23(7):1384\u20131393","journal-title":"Eur Spine J"},{"issue":"8","key":"287_CR25","doi-asserted-by":"publisher","first-page":"e470","DOI":"10.1097\/BPO.0000000000000720","volume":"37","author":"L Shabtai","year":"2017","unstructured":"Shabtai L, Andras LM, Portman M, Harris LR, Choi PD, Tolo VT, Skaggs DL (2017) Sacral alar iliac (SAI) screws fail 75% less frequently than iliac screws in neuromuscular scoliosis. J Pediatr Orthop 37(8):e470\u2013e475","journal-title":"J Pediatr Orthop"},{"issue":"13","key":"287_CR26","first-page":"1396","volume":"28","author":"EL Sink","year":"2003","unstructured":"Sink EL, Newton PO, Mubarak SJ, Wenger DR (2003) Maintenance of sagittal plane alignment after surgical correction of spinal deformity in patients with cerebral palsy. Spine (Phila Pa 1976) 28(13):1396\u20131403","journal-title":"Spine (Phila Pa 1976)"},{"issue":"5","key":"287_CR27","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 (Wien) 158(5):975\u2013980","journal-title":"Acta Neurochir (Wien)"},{"key":"287_CR28","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 IB, 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"},{"issue":"20","key":"287_CR29","doi-asserted-by":"publisher","first-page":"1887","DOI":"10.1097\/BRS.0b013e3181e03881","volume":"35","author":"PD Sponseller","year":"2010","unstructured":"Sponseller PD, Zimmerman RM, Ko PS, Pull Ter Gunne AF, Mohamed AS, Chang TL, Kebaish KM (2010) Low profile pelvic fixation with the sacral alar iliac technique in the pediatric population improves results at two-year minimum follow-up. Spine (Phila Pa 1976) 35(20):1887\u20131892","journal-title":"Spine (Phila Pa 1976)"},{"issue":"4","key":"287_CR30","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1227\/NEU.0000000000000012","volume":"73","author":"J Terran","year":"2013","unstructured":"Terran J, Schwab F, Shaffrey CI, Smith JS, Devos P, Ames CP, Fu KM, Burton D, Hostin R, Klineberg E, Gupta M, Deviren V, Mundis G, Hart R, Bess S, Lafage V (2013) The SRS-Schwab adult spinal deformity classification: assessment and clinical correlations based on a prospective operative and nonoperative cohort. Neurosurgery 73(4):559\u2013568","journal-title":"Neurosurgery"},{"issue":"2","key":"287_CR31","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1097\/BPO.0000000000000075","volume":"34","author":"JJ Vaughn","year":"2014","unstructured":"Vaughn JJ, Schwend RM (2014) Sitting sagittal balance is different from standing balance in children with scoliosis. J Pediatr Orthop 34(2):202\u2013207","journal-title":"J Pediatr Orthop"},{"key":"287_CR32","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":"287_CR33","volume-title":"Sacropelvic fixation","author":"KH Bridwell","year":"2004","unstructured":"Bridwell KH, Kuklo T, Edwards CC 2nd et al (2004) Sacropelvic fixation. Medtronic Sofamor Danek USA, Memphis"}],"container-title":["Spine Deformity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s43390-021-00287-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s43390-021-00287-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s43390-021-00287-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T00:17:22Z","timestamp":1625876242000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s43390-021-00287-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,25]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["287"],"URL":"https:\/\/doi.org\/10.1007\/s43390-021-00287-6","relation":{},"ISSN":["2212-134X","2212-1358"],"issn-type":[{"value":"2212-134X","type":"print"},{"value":"2212-1358","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,25]]},"assertion":[{"value":"8 May 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 January 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 January 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This retrospective clinical study involving human participants was in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The Human Investigation Committee (IRB) of Children\u2019s Mercy Hospital approved this study, IRB # 000000387 on 11\/9\/18. This expedited study did not require signed informed patient consents.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}}]}}