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Grechenig, P; Grechenig, C; Hohenberger, G; Maier, MJ; Lipnik, G; Schwarz, A; di, Vora, T; Gänsslen, A.
Relation of the lumbosacral trunk to the sacro-iliac joint.
Sci Rep. 2021; 11(1):20211
Doi: 10.1038/s41598-021-99851-3
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Web of Science
PubMed
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- Leading authors Med Uni Graz
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Grechenig Peter Franz
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Hohenberger Gloria
- Co-authors Med Uni Graz
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Lipnik Georg
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Schwarz Angelika
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- Abstract:
- This study aims to evaluate the relation between the lumbosacral trunk (LT) and the sacro-iliac joint (SIJ). In forty anatomic specimens (hemipelves) a classical antero-lateral approach to the SIJ was performed. The SIJ was marked at the linea terminalis (reference point A). Reference point B was situated at the upper edge of the interosseous sacro-iliac ligament. The length of the SIJ (distance A to B) and the distance between point A and the ventral branch of the fourth (L4) and fifth (L5) lumbar spinal nerves at the linea terminalis were measured. The SIJ had a mean length of 58.0 mm. The ventral branch of L5 was located closer to the SIJ in very long SIJs (mean length: ≥ 6.5 cm; mean distance: 9.8 mm) compared to very short joints (≤ 5 mm; mean distance: 11.3 mm). For the ventral branch of L4, very long SIJs had a mean distance of 7 mm and very short joints an average distance of 9.7 mm between point A and the nerve branch. A safe zone of approximately 1 cm to 2 cm (anterior to posterior) is present on the sacral surface (lateral to medial) for safe fixation of plates during anterior plate stabilization of the SIJ. Pelves with a shorter dorsoventral diameter of the most superior part of the SIJ apparently give more space for inserting plates.
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