Rajamaheshwari N, Karthik G (2004): Transvaginal sacrospinal
colpopexy for vault prolapse.
Additionally, the MRI revealed a disruption of the anterior sacroiliac ligaments on the left side and no affection of the posterior sacroiliac ligaments, the sacrotuberal and sacrospinal ligaments (Figures 1(c) and 1(d)).
However, the sacrospinal and sacrotuberal ligament seem to have a minor role contributing to pelvic stiffness and vertical or horizontal displacement [17, 47].
Indeed, the instability appears not as serious as reported for APC type II/III or "open book" fractures by missing classical signs of instability like ruptured sacrospinal and/or sacrotuberal ligaments and less symphyseal displacement [16,39].
Some researchers found that placing isolative material between the dura and sacrospinal
muscle could prevent their contact.
Concurrent procedures included vaginal hysterectomy, sling procedure with tension-free vaginal tape or transobturator tension-free tape, sacrospinal
fixation, repair of vaginal enterocele, and bilateral salpingo-oophorectomy.
The sacrotuberal and sacrospinal
ligaments are not reconstructed during surgery because there is no need and reconstruction results are inadequate, he said.
Sacrospinal fixation is particularly popular, and recent data suggest it is best performed with an anterior approach via the paravaginal space.
Furthermore, in a study comparing sacrospinal fixation with iliococcygeal fixation, patient satisfaction was higher (91% vs.
It's critical to place sutures medial and posterior to the spine in the sacrospinal