Sacroiliac Joint Fusion With Fibular Bone Graft in Patients With Failed Percutaneous Iliosacral Screw Fixation

Ebraheim, Nabil A.; Ramineni, Satheesh K.; Alla, Sreenivasa R.; Ebraheim, Molly

doi:10.1097/ta.0b013e3181e4f3f8

Cited by 12 publications

(8 citation statements)

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“…In such situations, more aggressive treatment options can be considered. Such options include radiofrequency ablation or fusion of the SI joint (7,11). Though these procedures have shown promising results, they are still being evaluated.…”

Section: Discussionmentioning

confidence: 99%

“…Conservative treatments for SI joint pain include the following: pain medications, nonsteroidal anti-inflammatory drugs, steroid injection (5), physical therapy (6), and exercise program. Surgical procedures include the following: radiofrequency ablation of the SI joint (7,8), lumbar and sacral radiofrequency neurotomy (9,10), and fusion (11,12). In a large study, the success for SI joint fusion has been found to be between 60% and 75% (7).…”

mentioning

confidence: 99%

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Peripheral Nerve Field Stimulation for Sacroiliac Joint Pain

Patil

Otto

Raikar³

2014

Neuromodulation: Technology at the Neural Interface

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Peripheral Nerve Field Stimulation for Sacroiliac Joint Pain

Patil

Otto

Raikar³

2014

Neuromodulation: Technology at the Neural Interface

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“…Complication rates with iFuse also compare favorably with open surgical and other minimally invasive sacroiliac joint arthrodesis systems. Open surgery is associated with complication rates of 22%–65%, including reoperation (0%–65%), deep wound infection (0%–10%), iliac crest fracture (0%–6%), and pulmonary embolism (0%–2%) 6,15,16,20,21. Minimally invasive sacroiliac joint arthrodesis techniques yield lower complication rates compared with open surgery, including overall complication rates of 8%–11%, reoperation (0%–11%), and deep wound infection (0%–11%) 17,18,22.…”

Section: Discussionmentioning

confidence: 99%

Analysis of postmarket complaints database for the iFuse SI Joint Fusion System®: a minimally invasive treatment for degenerative sacroiliitis and sacroiliac joint disruption

Miller¹,

Reckling²,

Block³

2013

MDER

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BackgroundThe sacroiliac joint is a common but under-recognized source of low back and gluteal pain. Patients with degenerative sacroiliitis or sacroiliac joint disruption resistant to nonsurgical treatments may undergo open surgery with sacroiliac joint arthrodesis, although outcomes are mixed and risks are significant. Minimally invasive sacroiliac joint arthrodesis was developed to minimize the risk of iatrogenic injury and to improve patient outcomes compared with open surgery.MethodsBetween April 2009 and January 2013, 5319 patients were treated with the iFuse SI Joint Fusion System® for conditions including sacroiliac joint disruption and degenerative sacroiliitis. A database was prospectively developed to record all complaints reported to the manufacturer in patients treated with the iFuse device. Complaints were collected through spontaneous reporting mechanisms in support of ongoing mandatory postmarket surveillance efforts.ResultsComplaints were reported in 204 (3.8%) patients treated with the iFuse system. Pain was the most commonly reported clinical complaint (n = 119, 2.2%), with nerve impingement (n = 48, 0.9%) and recurrent sacroiliac joint pain (n = 43, 0.8%) most frequently cited. All other clinical complaints were rare (≤0.2%). Ninety-six revision surgeries were performed in 94 (1.8%) patients at a median follow-up of four (range 0–30) months. Revisions were typically performed in the early postoperative period for treatment of a symptomatic malpositioned implant (n = 46, 0.9%) or to correct an improperly sized implant in an asymptomatic patient (n = 10, 0.2%). Revisions in the late postoperative period were performed to treat symptom recurrence (n = 34, 0.6%) or for continued pain of undetermined etiology (n = 6, 0.1%).ConclusionAnalysis of a postmarket product complaints database demonstrates an overall low risk of complaints with the iFuse SI Joint Fusion System in patients with degenerative sacroiliitis or sacroiliac joint disruption.

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“…The sacroiliac joint (SIJ) is known to be both a site of load transmission between the spine and lower extremities, and an important contributor to low back and posterior pelvic girdle pain (Schwarzer et al 1995;Robert et al 1998;Fortin et al 1999;Cohen, 2005;Forst et al 2006;Szadek et al 2009;Laplante et al 2012;Cohen et al 2013;Visser et al 2013). In recent years, a number of non-surgical (Dussault et al 2000;Damen et al 2002;Fritz et al 2008;Jee et al 2014;Kasliwal & Kasliwal, 2016;Kurosawa et al 2016) and surgical techniques (Waisbrod et al 1987;Buchowski et al 2005;Al-Khayer et al 2008;Khurana et al 2009;Ebraheim et al 2010;Biswas et al 2016;Duhon et al 2016) have evolved for its treatment. A particular aim is to relieve nerve irritation related to SIJ pathology (Kibsg ard et al 2014a) or to reduce SIJ motion by means of surgical implants (Kube & Muir, 2016).…”

Section: Introductionmentioning

confidence: 99%

Physiological in vitro sacroiliac joint motion: a study on three‐dimensional posterior pelvic ring kinematics

et al. 2018

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The sacroiliac joint (SIJ) is a well-known source of low back and pelvic pain, of increasing interest for both conservative and surgical treatment. Alterations in the kinematics of the pelvis have been hypothesized as a major cause of SIJ-related pain. However, definitions of both the range and the extent of physiological movement are controversial, and there are no clear baseline data for pathological alterations. The present study combined a novel biomechanical setup allowing for physiological motion of the lumbosacral transition and pelvis without restricting the SIJ movement in vitro, combined with optical image correlation. Six fresh human pelvises (81 AE 10 years, three females, three males) were tested, with bodyweight-adapted loading applied to the fifth lumbar vertebra and both acetabula. Deformation at the lumbopelvises was determined computationally from three-dimensional image correlation data. Sacroiliac joint motion under the loading of 100% bodyweight primarily consisted of a z-axis rotation (0.16°) and an inferior translation of the sacrum relative to the ilium (0.32 mm). Sacroiliac joint flexion-extension rotations were minute (< 0.02°). Corresponding movements of the SIJ were found at the lumbosacral transition, with an anterior translation of L5 relative to the sacrum of À0.97 mm and an inferior translation of 0.11 mm, respectively. Moreover, a flexion of 1.82°was observed at the lumbosacral transition. Within the innominate bone and at the pubic symphysis, small complementary rotations were seen around a vertical axis, accounting for À0.10°and 0.11°, respectively. Other motions were minute and accompanied by large interindividual variation. The present study provides evidence of different SIJ motions than reported previously when exerted by physiological loading. Sacroiliac joint kinematics were in the sub-degree and sub-millimeter range, in line with previous in vivo and in vitro findings, largely limited to the sagittal rotation and an inferior translation of the sacrum relative to the ilium. This given physiological loading scenario underlines the relevance of the lumbosacral transition when considering the overall motion of the lumbopelvis, and how relatively little the other segments contribute to overall motion.

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Sacroiliac Joint Fusion With Fibular Bone Graft in Patients With Failed Percutaneous Iliosacral Screw Fixation

Abstract: Fibular graft is feasible and apparently effective choice for SI joint fusion. This procedure avoids further metal work, which results in successful fusion and pain relief as well as stabilizing the SI joint.

Cited by 12 publications

References 13 publications

Peripheral Nerve Field Stimulation for Sacroiliac Joint Pain

Peripheral Nerve Field Stimulation for Sacroiliac Joint Pain

Analysis of postmarket complaints database for the iFuse SI Joint Fusion System®: a minimally invasive treatment for degenerative sacroiliitis and sacroiliac joint disruption

Physiological in vitro sacroiliac joint motion: a study on three‐dimensional posterior pelvic ring kinematics

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Sacroiliac Joint Fusion With Fibular Bone Graft in Patients With Failed Percutaneous Iliosacral Screw Fixation

Abstract: Fibular graft is feasible and apparently effective choice for SI joint fusion. This procedure avoids further metal work, which results in successful fusion and pain relief as well as stabilizing the SI joint.

Cited by 12 publications

References 13 publications

Peripheral Nerve Field Stimulation for Sacroiliac Joint Pain

Peripheral Nerve Field Stimulation for Sacroiliac Joint Pain

Analysis of postmarket complaints database for the iFuse SI Joint Fusion System&reg;: a minimally invasive treatment for degenerative sacroiliitis and sacroiliac joint disruption

Physiological in vitro sacroiliac joint motion: a study on three‐dimensional posterior pelvic ring kinematics

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Product

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Analysis of postmarket complaints database for the iFuse SI Joint Fusion System®: a minimally invasive treatment for degenerative sacroiliitis and sacroiliac joint disruption