Sacroiliac joint pain: is the medical world aware enough of its existence? Why not considering sacroiliac joint fusion in the recalcitrant cases?

Vanaclocha‐Vanaclocha, Vicente; Saiz-Sapena, Nieves; Vanaclocha, Leyre

doi:10.21037/jss.2019.06.11

Cited by 9 publications

(10 citation statements)

References 29 publications

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“…Sacroiliac joint pathology has been increasingly recognized as a contributor to lower back pain, and sacroiliac joint fusion to treat this condition has grown in popularity over the past 10 years [5]. Yearly publications regarding SIJF have increased, number of citations have increased, and a large number of patients are diagnosed with SI joint pathology and subsequently underwent fusion in 2016.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment for LBP derived from the sacroiliac joint includes physical therapy, corticosteroids, prolotherapy, radiofrequency denervation, and sacroiliac joint fusion [4]. Sacroiliac joint fusion (SIJF) has been around for many years but has grown vastly in popularity over the past 10 years due to the advent of minimally-invasive surgical techniques, new technologies, and improved recognition of the SI joint as a source of back pain [5]. Indeed, in patients with SI joint pathology who fail conservative management, SIJF provides effective pain relief [4,6], even when compared to optimized conservative management [7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Trends in Diagnosis and Treatment of Sacroiliac Joint Pathology Over the Past 10 Years: Review of Scientific Evidence for New Devices for Sacroiliac Joint Fusion

Himstead¹,

Brown²,

Shahrestani³

et al. 2021

Cureus

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Sacroiliac (SI) joint pathology is a newly appreciated contributor to lower back pain. Sacroiliac joint fusion (SIJF) has grown rapidly in popularity in association with the advent of minimally-invasive surgical techniques. This has led to an explosion of new medical devices used for SIJF. The objective of this article is to outline clinical trends, summarize the current data, and categorize novel devices for SIJF. Trends in SI joint pathology and fusion were obtained via the Healthcare Cost and Utilization Project's (HCUP) National Inpatient Sample (NIS) database and Web of Science. To review literature on devices for SIJF, PubMed was searched using the Boolean phrase "sacroiliac joint AND (fusion OR arthrodesis)" since 2010. To establish a list of SIJF devices not represented in the literature, searches were performed on the FDA 510(k), premarket approval, and de novo databases, as well as Google and LinkedIn. Literature review yielded 11 FDA-approved devices for minimally invasive SIJF. Database query yielded an additional 22 devices for a total of 33 devices. Twenty-one devices used the lateral transiliac approach, six posterior allograft approach, three posterolateral approach, and three combined the lateral transiliac and posterolateral approaches. The evidence for the lateral transiliac approach is the most robust. Many novel devices have been developed for minimally invasive SIJF over the past 10 years. Further randomized comparative trials are warranted to evaluate different surgical approaches and novel devices at this time.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Trends in Diagnosis and Treatment of Sacroiliac Joint Pathology Over the Past 10 Years: Review of Scientific Evidence for New Devices for Sacroiliac Joint Fusion

Himstead¹,

Brown²,

Shahrestani³

et al. 2021

Cureus

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show abstract

“…SIJ dysfunction has been identified as a common, yet underdiagnosed cause of acute and chronic low back pain [67][68][69]. Over the last decade, SIJ fusion techniques have gained popularity owing to recent advances in the minimally invasive surgical techniques [70] and have been seen as an alternative to opioid medications for pain management [71]. SIJ fusion procedures have increased in tandem with approval of these devices by the FDA.…”

Section: Si Joint Fusionmentioning

confidence: 99%

Advances in Pain Medicine: a Review of New Technologies

Strand

Maloney

Francio

et al. 2022

Curr Pain Headache Rep

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Purpose of Review This narrative review highlights the interventional musculoskeletal techniques that have evolved in recent years. Recent Findings The recent progress in pain medicine technologies presented here represents the ideal treatment of the pain patient which is to provide personalized care. Advances in pain physiology research and pain management technologies support each other concurrently. Summary As new technologies give rise to new perspectives and understanding of pain, new research inspires the development of new technologies

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“…Conservative treatments are often symptomatic treatment, such as wearing waist circumference, articular steroid injection, acupuncture, massage, etc, but the literature reports that the effective rate of these treatments is low, only about 50% of patients’ symptoms were relieved. [ 8 ] The surgical treatment of this disease has been proposed since 1900, which was open sacroiliac joint fusion. Through continuous development of surgical technique and surgical instruments, triangular tantalum screw internal fixation of the sacroiliac joint has become the most common surgical method.…”

Section: Introductionmentioning

confidence: 99%

“…Through continuous development of surgical technique and surgical instruments, triangular tantalum screw internal fixation of the sacroiliac joint has become the most common surgical method. [ 8 ] Related studies have reported that it can achieve good clinical efficacy. [ 9 – 12 ] However, the best treatment for such diseases is still controversial.…”

Section: Introductionmentioning

confidence: 99%

Sacroiliac joint fusion VS conservative management for chronic low back pain attributed to the sacroiliac joint

Chen

Liang²,

Qin³

et al. 2020

Medicine

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Introduction: Low back pain (LBP) is high prevalent and it is the leading cause of years lived with disability in both developed and developing countries. The sacroiliac joint (SIJ) is a common reason that caused LBP. At present, the treatment of chronic LBP attributed to SIJ is mainly conservative treatment and surgical treatment. However, there are still controversies between the 2 treating methods, and there is no recognized standard of treatment or surgical indications. Recent publications indicated that minimally invasive sacroiliac joint arthrodesis was safe and more effective improving pain, disability, and quality of life compared with conservative management in 2 years follow-up, which re-raise the focus of sacroiliac joints fusion. This paper will systematically review the available evidence, comparing the effectiveness of sacroiliac joint fusion and conservative therapy for the treatment of gait retraining for patients suffered from LBP attributed to the sacroiliac joint. Method and analysis: A systematic review and meta-analysis of relevant studies in Pubmed, Embase, SCOPUS, and Cochrane Library will be synthesized. Inclusion criteria will be studies evaluating clinical outcomes (i.e., changes to pain and/or function) comparing sacroiliac joint fusion and conservative therapy in populations sacroiliac join related LBP; studies with less than 10 participants in total will be excluded. The primary outcomes measured will be pain score, Oswestry Disability Index (ODI), and adverse events during treatment. Review Manager (Revman; Version 5.3) software will be used for data synthesis, sensitivity analysis, meta-regression, subgroup analysis, and risk of bias assessment. A funnel plot will be developed to evaluate reporting bias and Begg and Egger tests will be used to assess funnel plot symmetries. We will use the Grading of Recommendations Assessment, Development and Evaluation system to assess the quality of evidence. Ethics and dissemination: Our aim is to publish this systematic review and meta-analysis in a peer-reviewed journal. Our findings will provide information comparing the efficacy and safety comparing sacroiliac joint fusion and non-surgical treatment for patients with LBP attributed to the sacroiliac joint. This review will not require ethical approval as there are no issues about participant privacy.

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Sacroiliac joint pain: is the medical world aware enough of its existence? Why not considering sacroiliac joint fusion in the recalcitrant cases?

Cited by 9 publications

References 29 publications

Trends in Diagnosis and Treatment of Sacroiliac Joint Pathology Over the Past 10 Years: Review of Scientific Evidence for New Devices for Sacroiliac Joint Fusion

Trends in Diagnosis and Treatment of Sacroiliac Joint Pathology Over the Past 10 Years: Review of Scientific Evidence for New Devices for Sacroiliac Joint Fusion

Advances in Pain Medicine: a Review of New Technologies

Sacroiliac joint fusion VS conservative management for chronic low back pain attributed to the sacroiliac joint

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