Evidence map›Paper›PMID 41403815›Full record

ReviewMaedica2025

Emerging Techniques in Lumbopelvic Fixation: Biomechanical and Clinical Perspectives.

K Zygogiannis, P Gerasimidis, P C Christakakis, K Manolakos, G C Thivaios, A Tsatsaragkou, D Koulalis

Abstract readReview
In one paragraph

Review in Maedica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

K ZygogiannisCentre for Spinal Studies and Surgery, Queen's Medical Centre, Nottingham University Hospitals, NHS Trust, Nottingham, United Kingdom.
P GerasimidisOrthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece.
P C ChristakakisOrthopedic Department, Evaggelismos General Hospital, Athens, Greece.
K ManolakosEmergency Department, Laiko General Hospital of Athens, Greece.
G C ThivaiosOrthopedic Department, Laiko General Hospital of Athens, Greece.
A TsatsaragkouFamily Medicine, General Practice, and Flying Doctor, National Emergency Aid Centre, Athens, Greece.
D KoulalisOrthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The lumbopelvic junction is a biomechanically complex region that necessitates robust stabilization, especially following spinopelvic dissociation, unstable sacral fractures, or sacrectomy. Lumbopelvic fixation techniques, such as triangular osteosynthesis and dual S2-alar-iliac (S2AI) screw placement, optimize load transfer, restore spinal-pelvic continuity and reduce mechanical failure risks. Triangular osteosynthesis achieves up to 80% of native spine stiffness under load, while dual S2AI screws restore up to 96% stiffness and show lower screw loosening rates than single screws. Comparative studies reveal that S2AI screws outperform traditional iliac screws in biomechanical stability, pullout strength and reduced hardware-related complications. Multi-rod and quad-rod constructs further enhance construct rigidity, distribute mechanical stress and lower the risk of rod breakage and revision surgeries. Novel anchoring strategies, including sacral hooks and clamps, contribute to improved stability in cases with complex fractures or bone loss. The integration of navigation and robotics ensures higher accuracy in screw placement, minimizes complications and enhances surgical precision. Collectively, these advancements facilitate early mobilization, improved fusion rates, superior pain relief and better functional outcomes, underscoring the evolving landscape of lumbopelvic fixation strategies.

Indexed as

biomechanicsiliac screwslumbopelvic fixationS2-alar-iliac screwssacral fracturesspinopelvic dissociationtriangular osteosynthesis

Identifiers

PMID41403815
PMCPMC12638119

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.