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We recently demonstrated that pelvic incidence (PI) decreases after long fusion using iliac screws (ISs) and plays a role in good sagittal balance postoperatively. By contrast, the IS loosening rate may cause reversion, increasing the PI and causing loss of sagittal balance. The aim of this study was to determine the effect of the number of ISs inserted into the iliac bone for long fusion to correct adult spinal deformities (ASDs) on the frequency of IS loosening, postoperative PI, and surgical outcomes.

spine surgery and related research

Surgical Outcomes of Long Fusion Using Dual Iliac Screws Bilaterally for Adult Spinal Deformities: The Effect on the Loosening Rate and Sacroiliac Joint Correction