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Jones-Quaidoo SM et al. - Despite advances in surgical techniques, failure to achieve solid arthrodesis of the lumbosacral junction continues to be a significant clinical disadvantage, especially in long fusions to the sacrum, such as those needed in the treatment of neuromuscular scoliosis, fusions in osteoporotic patients with degenerative scoliosis and adult scoliosis. The use of iliac screws and anterior column support stabilizes the construct closer to the center of rotation of the lumbo-pelvic unit, reducing the load of posterior constructs.

   

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