Sacroiliac Joint Arthrodesis-MIS Technique with Titanium Implants: Report of the First 50 Patients and Outcomes

This retrospective study of 50 consecutive patients treated by a single orthopedic spine surgeon in private practice was conducted to evaluate the safety and efficacy of minimally invasive sacroiliac joint fusion using a series of triangular, porous plasma spray coated titanium implants. Medical charts were reviewed for perioperative metrics, complications, pain, quality of life and satisfaction with surgery. All patients were contacted at a 24 months post-op to assess SI joint pain, satisfaction with surgery and work status. An early and sustained statistically significant improvement in pain function was identified at all post-operative time points (ANOVA, p<0.000). A clinically significant improvement (>2 point change from baseline) was observed in 7 out of 9 domains of daily living. The complication rate was low and more than 80% of patients would have the same surgery again. MIS SI joint fusion appears to be a safe and effective procedure for the treatment of sacroiliac joint disruption or degenerative sacroiliitis.

[1]  E. Sudmann,et al.  Pelvic joint fusions in patients with chronic pelvic girdle pain: a 23-year follow-up , 2013, European Spine Journal.

[2]  J. Ketchum,et al.  Etiology of chronic low back pain in patients having undergone lumbar fusion. , 2011, Pain medicine.

[3]  P. Liliang,et al.  Sacroiliac joint pain after lumbar and lumbosacral fusion: findings using dual sacroiliac joint blocks. , 2011, Pain medicine.

[4]  C. Murray.  Sacroiliac Joint Dysfunction: A Case Study , 2011, Orthopedic nursing.

[5]  A. Khurana,et al.  Percutaneous fusion of the sacroiliac joint with hollow modular anchorage screws: clinical and radiological outcome. , 2009, The Journal of bone and joint surgery. British volume.

[6]  M. V. van Tulder,et al.  Diagnostic validity of criteria for sacroiliac joint pain: a systematic review. , 2009, The journal of pain : official journal of the American Pain Society.

[7]  D. Polly,et al.  How Often Is Low Back Pain Not Coming From the Back? , 2009, Spine.

[8]  C. Wise,et al.  Minimally Invasive Sacroiliac Arthrodesis: Outcomes of a New Technique , 2008, Journal of spinal disorders & techniques.

[9]  S. Berven,et al.  Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and pain scales. , 2008, The spine journal : official journal of the North American Spine Society.

[10]  A. Al-khayer,et al.  Percutaneous Sacroiliac Joint Arthrodesis: A Novel Technique , 2008, Journal of spinal disorders & techniques.

[11]  K. Ha,et al.  Degeneration of Sacroiliac Joint After Instrumented Lumbar or Lumbosacral Fusion: A Prospective Cohort Study Over Five-Year Follow-up , 2008, Spine.

[12]  M. Klein,et al.  The role of sacroiliac joint dysfunction in the genesis of low back pain: the obvious is not always right , 2007, Archives of Orthopaedic and Trauma Surgery.

[13]  R. Buschbacher,et al.  Sacroiliac joint pain: anatomy, biomechanics, diagnosis, and treatment. , 2006, American journal of physical medicine & rehabilitation.

[14]  Rick Sasso,et al.  An Evaluation of Image-Guided Technologies in the Placement of Percutaneous Iliosacral Screws , 2006, Spine.

[15]  J. Buchowski,et al.  Functional and radiographic outcome of sacroiliac arthrodesis for the disorders of the sacroiliac joint. , 2005, The spine journal : official journal of the North American Spine Society.

[16]  J. Maigne,et al.  Sacroiliac joint pain after lumbar fusion. A study with anesthetic blocks , 2005, European Spine Journal.

[17]  A. Khan,et al.  Sacroiliac joint fusion for chronic pain: a simple technique avoiding the use of metalwork , 2004, European Spine Journal.

[18]  E. Vresilovic,et al.  Etiologies of failed back surgery syndrome. , 2002, Pain medicine.

[19]  J. Schofferman,et al.  Etiology of long-term failures of lumbar spine surgery. , 2002, Pain medicine.

[20]  J. Berthelot,et al.  Possible Use of Arthrodesis for Intractable Sacroiliitis in Spondylarthropathy: Report of Two Cases , 2001, Spine.

[21]  B. E. Dall,et al.  Sacroiliac arthrodesis using a posterior midline fascial splitting approach and pedicle screw instrumentation: a new technique. , 2001, Journal of spinal disorders.

[22]  N. Elmalı,et al.  Anterior sacroiliac fusion: a new video-assisted endoscopic technique. , 1998, Surgical laparoscopy, endoscopy & percutaneous techniques.

[23]  P. Simonian,et al.  Iliosacral screw complications , 1997 .

[24]  N. Bogduk,et al.  The Sacroiliac Joint in Chronic Low Back Pain , 1995, Spine.

[25]  F. Denis,et al.  Sacral fractures: an important problem. Retrospective analysis of 236 cases. , 1988, Clinical orthopaedics and related research.

[26]  F. Denis,et al.  Sacral Fractures: An Important Problem , 1988 .

[27]  T N Bernard,et al.  Recognizing specific characteristics of nonspecific low back pain. , 1987, Clinical orthopaedics and related research.

[28]  F. J. Gaenslen.  SACRO-ILIAC ARTHRODESIS: INDICATIONS, AUTHOR'S TECHNIC AND END-RESULTS , 1927 .

[29]  M. Smith-Petersen.  ARTHRODESIS OF THE SACROILIAC JOINT. A NEW METHOD OF APPROACH , 1921 .

[30]  J. Krainick,et al.  Sacroiliac joint arthrodesis for chronic lower back pain , 2004, Archives of orthopaedic and traumatic surgery.

[31]  A. Vleeming.  Movement, stability, and low back pain : the essential role of the pelvis , 1997 .

[32]  J. Rand.  Anterior sacro-iliac arthrodesis for post-traumatic sacro-iliac arthritis. A case report. , 1985, Journal of Bone and Joint Surgery. American volume.

[33]  J. Glaser,et al.  Send Orders of Reprints at Reprints@benthamscience.net Outcome of Percutaneous Sacroiliac Joint Fixation with Porous Plasma- Coated Triangular Titanium Implants: an Independent Review , 2022 .