Percutaneous Sacroiliac Joint Fusion: Indications and Technique

Cross, William W.; Tavanaiepour, Kourosh; Paschel, Erin; Gerszten, Peter C.

doi:10.1053/j.oto.2017.09.006

Cited by 6 publications

(13 citation statements)

References 21 publications

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“…23 Approaches for SIJ fusion include open and minimally invasive (MI) techniques, with demonstrated significant pain relief with either approach. 23,40 However, MI SIJ fusion has been associated with lower blood loss, shorter operative times, and shorter postoperative length of stay. 23,[40][41][42][43] Specific open approaches for SIJ fusion include dorsal, lateral, and anterior fusion techniques, whereas MI approaches include dorsal or lateral transiliac approaches.…”

Section: Nonoperative Treatmentmentioning

confidence: 99%

“…23,40 However, MI SIJ fusion has been associated with lower blood loss, shorter operative times, and shorter postoperative length of stay. 23,[40][41][42][43] Specific open approaches for SIJ fusion include dorsal, lateral, and anterior fusion techniques, whereas MI approaches include dorsal or lateral transiliac approaches. 23,44 Descriptions of these procedures are outside the scope of this article but are detailed in prior studies.…”

Section: Nonoperative Treatmentmentioning

confidence: 99%

“…23,[40][41][42][43] Specific open approaches for SIJ fusion include dorsal, lateral, and anterior fusion techniques, whereas MI approaches include dorsal or lateral transiliac approaches. 23,44 Descriptions of these procedures are outside the scope of this article but are detailed in prior studies. 23,44 When compared with nonoperative treatments, SIJ fusion has reported significantly higher rates of success in appropriately indicated patients.…”

Section: Nonoperative Treatmentmentioning

confidence: 99%

“…23,44 Descriptions of these procedures are outside the scope of this article but are detailed in prior studies. 23,44 When compared with nonoperative treatments, SIJ fusion has reported significantly higher rates of success in appropriately indicated patients. 44,45 One randomized controlled trial comparing 2-year postoperative outcomes between MI SIJ fusion and nonoperative care demonstrated significantly greater rates of pain reduction and disability in the fusion cohort.…”

Section: Nonoperative Treatmentmentioning

confidence: 99%

See 3 more Smart Citations

Presentation, Diagnosis, and Treatment of Sacroiliac Joint Dysfunction

Anwar,

Nie,

Hartman

et al. 2023

Contemporary Spine Surgery

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Section: Nonoperative Treatmentmentioning

confidence: 99%

Section: Nonoperative Treatmentmentioning

confidence: 99%

Section: Nonoperative Treatmentmentioning

confidence: 99%

Section: Nonoperative Treatmentmentioning

confidence: 99%

See 2 more Smart Citations

Presentation, Diagnosis, and Treatment of Sacroiliac Joint Dysfunction

Anwar,

Nie,

Hartman

et al. 2023

Contemporary Spine Surgery

View full text Add to dashboard Cite

“…Nonsurgical alternatives have been reported to include pharmacological therapies, such as nonsteroidal anti-inflammatory drugs, therapeutic SI joint blocks 5 , and physical therapy, such as core stabilization, orthotics (SI belts), and radiofrequency ablation 1 , 2 , 6 - 8 . The surgical alternative is an open anterior or posterior approach with SI joint arthrodesis.…”

Section: Alternativesmentioning

confidence: 99%

Minimally Invasive Sacroiliac Joint Fusion

Polly

Holton

2020

JBJS Essential Surgical Techniques

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Background: Minimally invasive sacroiliac (SI) joint fusion is indicated for low back pain from the SI joint that is due to degenerative sacroiliitis and/or sacroiliac joint disruption. This technique is safe and effective in relieving pain uncontrolled by nonoperative management 1 - 4 . There is some controversy, but there continues to be increasing evidence of effectiveness. Description: This procedure is performed, with the patient under general anesthesia and in the prone position, using fluoroscopy or 3-dimensional (3D) navigation such as cone-beam computed tomographic (CT) imaging. After navigation setup, a navigated probe is used to approximate the desired location of each implant and trajectory. These positions are marked on the skin, and the skin is incised. A 3 to 5-cm lateral incision is made. The gluteal fascia is bluntly dissected to the outer table of the ilium. A guide pin is passed across the SI joint and into the center of the sacrum lateral to the neural foramina, which is confirmed with imaging. This is then drilled and broached. Triangular titanium rods are placed. Typically, 3 implants are placed, 2 in S1 and 1 in S2. Multiplanar postplacement imaging of the pelvis is obtained. The wound is irrigated and closed in layers. Alternatives: Nonsurgical alternatives have been reported to include pharmacological therapies, such as nonsteroidal anti-inflammatory drugs, therapeutic SI joint blocks 5 , and physical therapy, such as core stabilization, orthotics (SI belts), and radiofrequency ablation 1 , 2 , 6 - 8 . The surgical alternative is an open anterior or posterior approach with SI joint arthrodesis. The anterior approach differs by the resection of the SI joint cartilage, the use of a plate or screws across the joint for stabilization, and the packing of bone graft to facilitate fusion 9 . These are more morbid and have a much longer recovery. Rationale: Conservative management for SI joint pain is inadequate for all patients. Having 3 of 5 positive physical examination maneuvers 7 , having confirmatory diagnostic block(s) 10 , and ruling out the hip or spine as the pain generator provide a success rate of >80%. These patients have early and sustained clinically important and significantly improved outcomes across varying measures compared with conservative treatment 1 - 4 , 11 , 12 . Expected Outcomes: Patients can expect to experience decreased pain, reduced disability, increased daily function, and improved quality of life soon after the procedure ...

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Complications of Sacroiliac Joint Stabilization

Rupp¹,

Sayed²

2022

Complications of Pain‐Relieving Procedures

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Percutaneous Sacroiliac Joint Fusion: Indications and Technique

Cited by 6 publications

References 21 publications

Presentation, Diagnosis, and Treatment of Sacroiliac Joint Dysfunction

Presentation, Diagnosis, and Treatment of Sacroiliac Joint Dysfunction

Minimally Invasive Sacroiliac Joint Fusion

Complications of Sacroiliac Joint Stabilization

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