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Medicina
Special Issues
Surgical Innovations and New Strategies in Spine Surgery
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Surgical Innovations and New Strategies in Spine Surgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: 20 July 2026 | Viewed by 163

Special Issue Editors

Dr. Frederic Bludau

E-Mail Website
Guest Editor
Department of Orthopedics and Trauma Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
Interests: radiation therapy; traumatology; oncologic orthopedia; spine research; spine surgery; spinal surgery; neuro-oncology
Dr. Christian Ewelt

E-Mail Website
Guest Editor
Department of Neurosurgery, St. Barbara-Klinik Hamm-Heessen, 59073 Hamm, Germany
Interests: neurosurgery; spine research; spinal surgery; neurosurgical procedures

Special Issue Information

Dear Colleagues,

This Special Issue is dedicated to current operative treatment options and technical developments in spine surgery. The focus is on modern procedures that enhance precision, stability, and functional outcomes in the management of degenerative, traumatic, and neoplastic spinal disorders.

The articles highlight recent advances in minimally invasive spine surgery, navigation-assisted techniques, and intraoperative imaging. In addition, current trends in cervical, thoracic, and lumbar stabilization, as well as deformity surgery, are presented and critically evaluated.

A particular emphasis is placed on lumbopelvic stabilization techniques and the management of complex injuries to the posterior pelvic ring. The discussions address contemporary instrumentation strategies, fixation options, and their relevance for restoring lumbosacral and pelvic stability, especially in cases of highly unstable trauma or tumor-related conditions.

Further topics include optimization of perioperative management, from preoperative planning and blood loss or infection prophylaxis to the use of innovative implant designs and new materials for intervertebral fusion.

This Special Issue is aimed at orthopedic and neurosurgical spine surgeons seeking to stay informed about the latest operative techniques, novel materials, and evidence-based strategies. It provides practical insights and scientific orientation to advance surgical concepts with the goal of improving precision, stability, and patient safety in spine surgery.

Dr. Frederic Bludau
Dr. Christian Ewelt
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • lumbo-sacral spine
  • pelvic ring
  • insufficiency fractures
  • intervertebral body fusion devices
  • reconstruction of tumour defects
  • spondylodiscitis

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

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Research

19 pages, 906 KB  
Article
Stand-Alone Sacroiliac-Joint Fusion as Novel Treatment Approach for Septic Arthritis of the Pubic Symphysis
by Franz-Joseph Dally, Maria Antonia Rupp Pardos, Ali Darwich, Sascha Gravius, Michael Hackl, Steffen Heinrich Schulz and Frederic Bludau
Medicina 2026, 62(2), 309; https://doi.org/10.3390/medicina62020309 - 2 Feb 2026
Abstract
Management of septic arthritis of the pubic symphysis (SAS) presents with substantial clinical challenges. Firstly, the SAS is an extremely rare entity. Surgical resection of the symphysis plus targeted antibiotic therapy is a widely adopted treatment course. Some patients suffering from SAS develop [...] Read more.
Management of septic arthritis of the pubic symphysis (SAS) presents with substantial clinical challenges. Firstly, the SAS is an extremely rare entity. Surgical resection of the symphysis plus targeted antibiotic therapy is a widely adopted treatment course. Some patients suffering from SAS develop posterior pelvic insufficiency fractures because of the weakened anterior pelvic ring or as a result of radiation therapy received during treatment for a malignant disease in the lesser pelvis. The literature demonstrates a lack of standardized strategies for restoring pelvic ring integrity based on pelvic instability and posterior pelvic insufficiency fractures caused by SAS. Background and Objectives: This study aimed to determine whether early, primary stand-alone dorsal fusion can be a viable treatment option in SAS and whether there is a clinical benefit compared with temporary anterior fixation or secondary posterior stabilization after failed anterior fixation. Materials and Methods: We performed a descriptive, retrospective analysis covering an eight-year period (2018–2025) including 21 patients who underwent symphyseal resection for destructive SAS. We evaluated peri- and postsurgical data to describe the different surgical methods and their respective outcomes. Results: Ten patients (10/21, 48%) received posterior stabilization (sacroiliac-joint fusion or spinopelvic stabilization). Seven patients (7/21, 33%) were anteriorly fixated either temporarily with an external fixator or permanently with ventral plate osteosynthesis. Four patients (4/21, 19%) did not receive any pelvic stabilization following symphyseal resection as pelvic integrity was present. Three of them (3/21, 14%) showed spontaneous sacroiliac-joint fusion, while 6/7 (86%) of anteriorly fixed patients presented with debilitating sacral insufficiency fractures, had longer hospital stays and a higher count of readmissions and re-operations. Primary posterior stabilization led to shorter hospital stays, less readmissions, and good clinical outcome. Conclusions: Primary posterior stabilization can be a viable course of treatment of SAS and should be considered especially when spontaneous sacroiliac-joint fusion is not present. We suggest that early stabilization of the posterior pelvic ring could be a sensible course of treatment and may prevent debilitating insufficient fractures. While there are many different surgical options for posterior stabilization available (spinopelvic/lumbosacral stabilization, sacroiliac-joint fusion and others), our preliminary data suggest that primary sacroiliac-joint fusion is a quick, minimally invasive and effective way to establish posterior pelvic stability. Full article
(This article belongs to the Special Issue Surgical Innovations and New Strategies in Spine Surgery)
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