Publication:
Should iliac wing screws be included in long segment dynamic stabilization?

dc.contributor.coauthorHekimoglu, Mehdi
dc.contributor.coauthorCerezci, Onder
dc.contributor.coauthorBasak, Ahmet T.
dc.contributor.departmentKUH (Koç University Hospital)
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorAteş, Özkan
dc.contributor.kuauthorAydın, Ahmet Levent
dc.contributor.kuauthorÖktenoğlu, Bekir Tunç
dc.contributor.kuauthorÖzer, Ali Fahir
dc.contributor.kuauthorSasani, Mehdi
dc.contributor.schoolcollegeinstituteKUH (KOÇ UNIVERSITY HOSPITAL)
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T23:54:40Z
dc.date.issued2021
dc.description.abstractBackground In this article, clinical sAtışfaction and radiological results are discussed in a series of patients where the iliac wings participate in dynamic stabilization. Dynamic stabilization is an effective alternative surgical treatment method, especially in clinical pictures that go with pain due to minor instabilities. Practically the unique surgical instrument used in multilevel instabilities is the Dynesys system. The most important drawback of the Dynesys system is that the S1 screws become loose in time. In this article, our aim is to find solution to S1 insufficiency by extension of the system to the iliac wings. Methods Nineteen patients (eight females, 11 males) with a mean age of 54.16 were included in the study. Patients had multilevel (level 2 and above) instability, iliac wings were included in the stabilized segments, and Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) were used for patient follow-up. Results First year results showed a significant improvement in VAS and ODI. Regarding the complications, infection developed in one patient, loosening in the proximal iliac wing in one patient, and both S1 and iliac proximals in one patient, but no clinical findings were encountered. Conclusion When more than two levels of dynamic systems are used in chronic instability, especially in the elderly patients, S1 screws are loosened. In these patients, if the iliac bones are also included in stabilization, this problem is solved successfully. However unfortunately, Dynesys system does not have a screw suitable for the iliac bones.
dc.description.indexedbyWOS
dc.description.indexedbyPubMed
dc.description.issue2
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume13
dc.identifier.doi10.7759/cureus.13543
dc.identifier.eissn2168-8184
dc.identifier.quartileN/A
dc.identifier.urihttps://doi.org/10.7759/cureus.13543
dc.identifier.urihttps://hdl.handle.net/20.500.14288/15240
dc.identifier.wos624936000017
dc.keywordsDynesys system
dc.keywordsMultilevel instability
dc.keywordsIliac wing screwing
dc.keywordsBiomechanical analysis
dc.keywordsRadiological analysis
dc.keywordsFixation
dc.language.isoeng
dc.publisherCureus Inc
dc.relation.ispartofCureus Journal of Medical Science
dc.subjectMedicine
dc.subjectGeneral and internal medicine
dc.titleShould iliac wing screws be included in long segment dynamic stabilization?
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorÖzer, Ali Fahir
local.contributor.kuauthorAydın, Ahmet Levent
local.contributor.kuauthorAteş, Özkan
local.contributor.kuauthorÖktenoğlu, Bekir Tunç
local.contributor.kuauthorSasani, Mehdi
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit1KUH (KOÇ UNIVERSITY HOSPITAL)
local.publication.orgunit2KUH (Koç University Hospital)
local.publication.orgunit2School of Medicine
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