Percutaneous Sacroiliac Joint Arthrodesis

Abstract

The new technique may offer a safe and effective treatment for intractable SIJ pain.

Minimally Invasive Sacroiliac Joint Arthrodesis: Experience in a Prospective Series with 24 Patients

“…Al-khayer et al [7] and Wise et al [8] published in 2008 their respective series with percutaneous techniques. The first group treated 9 patients with a 10 mm Hollow Modular Anchorage Screw packed with demineralized bone matrix across the SI joint and early mobilization in the post-op.…”

“…Unfortunately this review did not evaluate surgical treatment. Although in recent years good results have been reported with fusion of the SI joint [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18], no clear-cut evidence has been published showing that surgery is superior to other treatment modalities and further comparative studies are needed [19,20].…”

“…They reported a complication and revision rate of 8% with 1 reoperation (due to nonunion). In 2009 Khurana et al [9] using the technique previously reported by Al-khayer et al [7] reported 15 patients reducing the hospital stay to 2.7 days and with no complications.…”

“…Among all the conservative options available a recent review showed poor short-term and long-term results from intra-articular or peri-articular injections with steroids or botulin toxin, pulsed radiofrequency, and conventional radiofrequency neurotomy, with slightly better results with cooled radiofrequency neurotomy [3]. In recent years several groups have reported excellent results with SI joint fusion [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. With the hypothesis that surgical treatment will show excellent results we report a prospective series of 24 patients, after following a diagnostic and therapeutic algorithm [19,20].…”

The percutaneous stabilisation of the sacroiliac joint with hollow modular anchorage screws: a prospective outcome study

“…Percutaneous iliosacral screw fixation has long been considered a safe and predictable treatment for the management of disrupted sacroiliac joints with unstable pelvic ring injuries [3]. The use of percutaneous iliosacral screw fixation as a treatment of sacroiliac joint pain has been reported to be successful [1,4,5], however, these studies have small patient numbers. We have been undertaking elective percutaneous sacroiliac joint stabilisation in our institution for several years, and we report our experience in using this technique.…”