{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:31:52Z","timestamp":1761823912696},"reference-count":21,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:p>The management of lumbosacral neoplastic disease can be demanding, often requiring complex reconstruction. In the context of extensive sacral involvement, the risk of iliac screw breakage is greater. Few studies advocate the use of dual iliac screw techniques to reduce implant failure. In this report, the authors have described the first case of percutaneous dual iliac screw, dual rod insertion as part of a minimally invasive spinopelvic stabilization in a patient with a sacral fracture from a paraganglionoma. The patient underwent percutaneous L-2 to ilium fixation. A dual iliac screw, dual rod construct was used for stabilizing the left lumbopelvic junction. At the 1-year follow-up, the patient remained asymptomatic, with radiographs showing no signs of instrumentation failure. Minimally invasive dual iliac screw, dual rod fixation is a viable option in cases in which additional stability is required due to extensive neoplastic disease or active individuals have increased functional demands. Short-term results in this report are encouraging; however, more research is warranted to establish the procedure\u2019s long-term safety.<\/jats:p>","DOI":"10.3171\/2017.3.spine161293","type":"journal-article","created":{"date-parts":[[2017,7,7]],"date-time":"2017-07-07T14:02:27Z","timestamp":1499436147000},"page":"316-320","source":"Crossref","is-referenced-by-count":10,"title":["Minimally invasive dual iliac screw, dual rod fixation in a rare case of pathological sacral fracture from a paraganglionoma: a technique description"],"prefix":"10.3171","volume":"27","author":[{"given":"Muhammed Yaser","family":"Hasan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1097\/BSD.0b013e31815b5cc4","article-title":"Ilio-lumbar fixation\u2014the Amrita technique","volume":"21","author":"Acharya NK","year":"2008","unstructured":"Acharya NK, Bijukachhe B, Kumar RJ, Menon VK: Ilio-lumbar fixation\u2014the Amrita technique. J Spinal Disord Tech 21:493\u2013499, 200810.1097\/BSD.0b013e31815b5cc4"},{"key":"b2","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1097\/00007632-198205000-00014","article-title":"The Galveston technique for L rod instrumentation of the scoliotic spine","volume":"7","author":"Allen BL Jr","year":"1982","unstructured":"Allen BL Jr, Ferguson RL: The Galveston technique for L rod instrumentation of the scoliotic spine. Spine (Phila Pa 1976) 7:276\u2013284, 198210.1097\/00007632-198205000-000147112242"},{"key":"b3","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E198","DOI":"10.1097\/BRS.0000000000001282","article-title":"Biomechanical comparison of iliac screws versus interbody femoral ring allograft on lumbosacral kinematics and sacral screw strain","volume":"35","author":"Cunningham BW","year":"2010","unstructured":"Cunningham BW, Sefter JC, Hu N, Kim SW, Bridwell KH, McAfee PC: Biomechanical comparison of iliac screws versus interbody femoral ring allograft on lumbosacral kinematics and sacral screw strain. Spine (Phila Pa 1976) 35:E198\u2013E205, 201010.1097\/BRS.0000000000001282"},{"key":"b4","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E296","DOI":"10.1097\/BSD.0b013e3181cc8e7f","article-title":"Total sacrectomy and reconstruction for sacral tumors","volume":"28","author":"Doita M","year":"2003","unstructured":"Doita M, Harada T, Iguchi T, Sumi M, Sha H, Yoshiya S, : Total sacrectomy and reconstruction for sacral tumors. Spine (Phila Pa 1976) 28:E296\u2013E301, 200310.1097\/BSD.0b013e3181cc8e7f"},{"key":"b5","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"99","DOI":"10.3171\/SPI-07\/07\/099","article-title":"Palliative dual iliac screw fixation for lumbosacral metastasis. Technical note","volume":"7","author":"Fujibayashi S","year":"2007","unstructured":"Fujibayashi S, Neo M, Nakamura T: Palliative dual iliac screw fixation for lumbosacral metastasis. Technical note. J Neurosurg Spine 7:99\u2013102, 200710.3171\/SPI-07\/07\/09917633497"},{"key":"b6","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E388","DOI":"10.1097\/01.BRS.0000115140.19829.4B","article-title":"Use of supplemental short pre-contoured accessory rods and cobalt chrome alloy posterior rods reduces primary rod strain and range of motion across the pedicle subtraction osteotomy level: an in vitro biomechanical study","volume":"41","author":"Hallager DW","year":"2016","unstructured":"Hallager DW, Gehrchen M, Dahl B, Harris JA, Gudipally M, Jenkins S, : Use of supplemental short pre-contoured accessory rods and cobalt chrome alloy posterior rods reduces primary rod strain and range of motion across the pedicle subtraction osteotomy level: an in vitro biomechanical study. Spine (Phila Pa 1976) 41:E388\u2013E395, 201610.1097\/01.BRS.0000115140.19829.4B"},{"key":"b7","series-title":"J Korean Neurosurg Soc","doi-asserted-by":"publisher","first-page":"347","DOI":"10.3340\/jkns.2010.48.4.347","article-title":"A mid-term follow-up result of spinopelvic fixation using iliac screws for lumbosacral fusion","volume":"48","author":"Hyun SJ","year":"2010","unstructured":"Hyun SJ, Rhim SC, Kim YJ, Kim YB: A mid-term follow-up result of spinopelvic fixation using iliac screws for lumbosacral fusion. J Korean Neurosurg Soc 48:347\u2013353, 201010.3340\/jkns.2010.48.4.34721113363"},{"key":"b8","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"e37","DOI":"10.1097\/BRS.0b013e3181ac8fc4","article-title":"Long-term results of iliac wing fixation below extensive fusions in ambulatory adult patients with spinal disorders","volume":"23","author":"Kasten MD","year":"2010","unstructured":"Kasten MD, Rao LA, Priest B: Long-term results of iliac wing fixation below extensive fusions in ambulatory adult patients with spinal disorders. J Spinal Disord Tech 23:e37\u2013e42, 201010.1097\/BRS.0b013e3181ac8fc4"},{"key":"b9","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1097\/00007632-198307000-00006","article-title":"Spinal fusions to the sacrum in adults with scoliosis","volume":"8","author":"Kostuik JP","year":"1983","unstructured":"Kostuik JP, Hall BB: Spinal fusions to the sacrum in adults with scoliosis. Spine (Phila Pa 1976) 8:489\u2013500, 1983664869910.1097\/00007632-198307000-00006"},{"key":"b10","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2312","DOI":"10.1097\/00007632-200211010-00003","article-title":"Biomechanical comparison of lumbosacral fixation techniques in a calf spine model","volume":"27","author":"Lebwohl NH","year":"2002","unstructured":"Lebwohl NH, Cunningham BW, Dmitriev A, Shimamoto N, Gooch L, Devlin V, : Biomechanical comparison of lumbosacral fixation techniques in a calf spine model. Spine (Phila Pa 1976) 27:2312\u20132320, 200210.1097\/00007632-200211010-00003"},{"key":"b11","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"4043","DOI":"10.1007\/s00586-016-4387-6","article-title":"Minimally invasive iliac screw fixation in treating painful metastatic lumbosacral deformity: a technique description and clinical results","volume":"25","author":"Liu G","year":"2016","unstructured":"Liu G, Hasan MY, Wong HK: Minimally invasive iliac screw fixation in treating painful metastatic lumbosacral deformity: a technique description and clinical results. Eur Spine J 25:4043\u20134051, 20162678734610.1007\/s00586-016-4387-6"},{"issue":"8 Suppl","key":"b12","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"S235","DOI":"10.1097\/BSD.0b013e3181cc8e7f","article-title":"Biomechanical analysis of lumbosacral fixation","volume":"17","author":"McCord DH","year":"1992","unstructured":"McCord DH, Cunningham BW, Shono Y, Myers JJ, McAfee PC: Biomechanical analysis of lumbosacral fixation. Spine (Phila Pa 1976) 17 (8 Suppl):S235\u2013S243, 199210.1097\/BSD.0b013e3181cc8e7f"},{"issue":"2","key":"b13","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E6","DOI":"10.3171\/foc.2003.15.2.6","article-title":"Lumbosacropelvic junction reconstruction resulting in early ambulation for patients with lumbosacral neoplasms or osteomyelitis","volume":"15","author":"Mindea SA","year":"2003","unstructured":"Mindea SA, Salehi SA, Ganju A, Rosner MK, O\u2019Shaughnessy BA, Jorge A, : Lumbosacropelvic junction reconstruction resulting in early ambulation for patients with lumbosacral neoplasms or osteomyelitis. Neurosurg Focus 15(2):E6, 200310.3171\/foc.2003.15.2.615350037"},{"issue":"29","key":"b14","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E123","DOI":"10.1097\/01.BRS.0000115140.19829.4B","article-title":"Extended total sacrectomy and reconstruction for sacral tumor","author":"Ohata N","year":"2004","unstructured":"Ohata N, Ozaki T, Kunisada T, Morimoto Y, Tanaka M, Inoue H: Extended total sacrectomy and reconstruction for sacral tumor. Spine (Phila Pa 1976) 29:E123\u2013E126, 200410.1097\/01.BRS.0000115140.19829.4B"},{"key":"b15","series-title":"J Oncol","first-page":"2012","article-title":"Updated and new perspectives on diagnosis, prognosis, and therapy of malignant pheochromocytoma\/paraganglioma","volume":"872713","author":"Parenti G","year":"2012","unstructured":"Parenti G, Zampetti B, Rapizzi E, Ercolino T, Giach\u00e8 V, Mannelli M: Updated and new perspectives on diagnosis, prognosis, and therapy of malignant pheochromocytoma\/paraganglioma. J Oncol 2012:872713, 2012"},{"key":"b16","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1097\/00024720-200206000-00005","article-title":"Anatomic and radiographic considerations for placement of transiliac screws in lumbopelvic fixations","volume":"15","author":"Schildhauer TA","year":"2002","unstructured":"Schildhauer TA, McCulloch P, Chapman JR, Mann FA: Anatomic and radiographic considerations for placement of transiliac screws in lumbopelvic fixations. J Spinal Disord Tech 15:199\u2013205, 20021213141910.1097\/00024720-200206000-00005"},{"issue":"31","key":"b17","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1097\/01.brs.0000197193.81296.f1","article-title":"Minimum 5-year analysis of L5\u2013S1 fusion using sacropelvic fixation (bilateral S1 and iliac screws) for spinal deformity","author":"Tsuchiya K","year":"2006","unstructured":"Tsuchiya K, Bridwell KH, Kuklo TR, Lenke LG, Baldus C: Minimum 5-year analysis of L5\u2013S1 fusion using sacropelvic fixation (bilateral S1 and iliac screws) for spinal deformity. Spine (Phila Pa 1976) 31:303\u2013308, 200610.1097\/01.brs.0000197193.81296.f116449903"},{"issue":"2","key":"b18","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E17","DOI":"10.3171\/FOC\/2008\/25\/8\/E17","article-title":"Percutaneous iliac screw placement: description of a new minimally invasive technique","volume":"25","author":"Wang MY","year":"2008","unstructured":"Wang MY, Ludwig SC, Anderson DG, Mummaneni PV: Percutaneous iliac screw placement: description of a new minimally invasive technique. Neurosurg Focus 25(2):E17, 200810.3171\/FOC\/2008\/25\/8\/E1718673046"},{"key":"b19","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"1121","DOI":"10.1007\/s00586-010-1343-8","article-title":"Biomechanical advantages of dual over single iliac screws in lumbo-iliac fixation construct","volume":"19","author":"Yu BS","year":"2010","unstructured":"Yu BS, Zhuang XM, Zheng ZM, Li ZM, Wang TP, Lu WW: Biomechanical advantages of dual over single iliac screws in lumbo-iliac fixation construct. Eur Spine J 19:1121\u20131128, 201010.1007\/s00586-010-1343-820195650"},{"issue":"2","key":"b20","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E5","DOI":"10.3171\/foc.2003.15.2.5","article-title":"Surgical techniques for total sacrectomy and spinopelvic reconstruction","volume":"15","author":"Zhang HY","year":"2003","unstructured":"Zhang HY, Thongtrangan I, Balabhadra RS, Murovic JA, Kim DH: Surgical techniques for total sacrectomy and spinopelvic reconstruction. Neurosurg Focus 15(2):E5, 200310.3171\/foc.2003.15.2.515350036"},{"key":"b21","series-title":"Spine (Phila Pa 1976)","first-page":"E565","article-title":"Effect of iliac screw insertion depth on the stability and strength of lumbo-iliac fixation constructs: an anatomical and biomechanical study","volume":"34","author":"Zheng ZM","year":"2009","unstructured":"Zheng ZM, Yu BS, Chen H, Aladin DM, Zhang KB, Zhang JF, : Effect of iliac screw insertion depth on the stability and strength of lumbo-iliac fixation constructs: an anatomical and biomechanical study. Spine (Phila Pa 1976) 34:E565\u2013E572, 2009"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/27\/3\/article-p316.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/27\/3\/article-p316.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/27\/3\/article-p316.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T23:17:15Z","timestamp":1681600635000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/27\/3\/article-p316.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9]]},"references-count":21,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/2017.3.spine161293","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2017,9]]}}}