Sacral Alar Iliac (SAI) Screws: How We Stabilize the Very Base of the Spine in Complex Deformity Cases

    May 15, 2025

    Stabilizing the lower spine can be challenging, especially in patients with spinal deformities, severe scoliosis, or complex degenerative changes. At IGEA Brain, Spine, Pain & Orthopedics, we use Sacral Alar Iliac (SAI) screws to anchor the very base of the spine, providing durable stability and improving surgical outcomes.

    What Are SAI Screws?

    SAI screws are specialized screws inserted through the sacrum and into the iliac bones of the pelvis. They provide a strong, low-profile anchor for spinal fusion procedures, particularly when long fusions extend to the sacrum.

    Why SAI Screws Are Important

    • Enhanced Stability: By securing the spine to the pelvis, SAI screws reduce the risk of implant loosening or failure.
    • Low Profile Design: Compared to traditional iliac screws, SAI screws sit deeper and cause less soft tissue irritation.
    • Ideal for Complex Deformities: Effective in long fusion constructs, severe scoliosis, spondylolisthesis, or revision surgeries.

    How the Procedure Works

    • Pre-Surgical Planning: Advanced imaging helps determine optimal screw trajectory and size.
    • Minimally Invasive or Open Placement: Screws are carefully inserted through the sacral alar into the iliac bones.
    • Fusion and Instrumentation: SAI screws anchor rods and other instrumentation to stabilize the spine and promote fusion.

    Benefits of SAI Screw Stabilization

    • Strong fixation for complex spinal reconstructions
    • Reduced risk of screw loosening or pelvic pain compared to traditional techniques
    • Enables long-term correction of deformities and improved alignment
    • Supports earlier mobility and recovery after surgery

    Who May Benefit from SAI Screws

    • Patients with long spinal fusion constructs extending to the sacrum
    • Severe spinal deformities or scoliosis requiring robust pelvic fixation
    • Revision surgeries where previous instrumentation failed
    • Complex degenerative conditions affecting spinal stability

    Contact IGEA for Complex Spine Care

    If you are facing a complex spinal deformity or need a revision surgery, contact IGEA Brain, Spine, Pain & Orthopedics. Our spine specialists use advanced techniques, including SAI screw placement, to provide durable stabilization and optimize outcomes.