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A New Approach to the Treatment of Sacroiliac Joint Pain and First Patient-Reported Outcomes Using a Novel Arthrodesis Technique for Sacroiliac Joint Fusion – Lumbar Fusion

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The article discusses the development of a new sacroiliac joint (SIJ) arthrodesis system that can be used for isolated fusion of the SIJ. Unlike existing implant systems, this new system can be combined with lumbar instrumentation or used as an alternative to current sacropelvic fixation methods. The study includes two cases where patients underwent surgery with the new implant, and their outcomes were evaluated. The patients experienced significant reductions in pain and improved functionality after the surgery. Follow-up evaluations showed solid bony integration of the implant. The authors conclude that the new implant system shows promising initial results and further biomechanical and clinical studies are needed to assess its advantages over existing SIJ implants

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established day surgery unit in London

Published article

: The implant used takes into account the unique anatomy of the SIJ and also meets the requirements of a true arthrodesis. Initial results in two patients are promising. Biomechanical and clinical studies will have to show whether the considerable theoretical advantages of the new implant system over existing SIJ implants – in particular the possibility of connection to a lumbar stabilization system – and SPFs can be put into practice.

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Orthop Res Rev. 2024 Feb 1;16:43-57. doi: 10.2147/ORR.S434566. eCollection 2024.ABSTRACTPURPOSE: To report the development of a new sacroiliac joint (SIJ) arthrodesis system that can be used for isolated fusion of the SIJ and, unlike known implant systems, in combination with lumbar instrumentation or as an alternative to existing sacropelvic fixation (SPF) methods, and the patient-reported,

Orthop Res Rev. 2024 Feb 1;16:43-57. doi: 10.2147/ORR.S434566. eCollection 2024.

ABSTRACT

PURPOSE: To report the development of a new sacroiliac joint (SIJ) arthrodesis system that can be used for isolated fusion of the SIJ and, unlike known implant systems, in combination with lumbar instrumentation or as an alternative to existing sacropelvic fixation (SPF) methods, and the patient-reported outcomes in two cases.

MATERIALS AND METHODS: After a comprehensive review of 207 pelvic computed tomography (CT) datasets, an implant body was designed. Its shape was modeled based on the SIJ recess. A screw anchored in the ilium secures the position of the implant and allows connection to lumbar instrumentation. Two patients with confirmed SIJ syndrome underwent surgery with the anatomically adapted implant. They were evaluated preoperatively, 6 months, and 12 months postoperatively. Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), Million Visual Analogue Scale (MVAS), Roland Morris Score (RMS), reduction of SIJ/leg pain, and work status were assessed. Bony fusion of the SIJ was evaluated by radiographs and CT 12 months after the procedure.

RESULTS: Analysis of pelvic CT data revealed a wedge-shaped implant body in four different sizes. In the two patients, VAS decreased from 88 to 33 points, ODI improved from 67 to 35%, MVAS decreased from 80 to 36%, and RMS decreased from 18 to 9 points 12 months after surgery. SIJ pain reduction was 80% and 90%, respectively. Follow-up CT and radiographs showed solid bony integration.

: The implant used takes into account the unique anatomy of the SIJ and also meets the requirements of a true arthrodesis. Initial results in two patients are promising. Biomechanical and clinical studies will have to show whether the considerable theoretical advantages of the new implant system over existing SIJ implants – in particular the possibility of connection to a lumbar stabilization system – and SPFs can be put into practice.

PMID:38318227 | PMC:PMC10840548 | DOI:10.2147/ORR.S434566

The London Spine Unit : most established day surgery unit in London

Read the original publication:

A New Approach to the Treatment of Sacroiliac Joint Pain and First Patient-Reported Outcomes Using a Novel Arthrodesis Technique for Sacroiliac Joint Fusion

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Orthop Res Rev. 2024 Feb 1;16:43-57. doi: 10.2147/ORR.S434566. eCollection 2024.ABSTRACTPURPOSE: To report the development of a new sacroiliac joint (SIJ) arthrodesis system that can be used for isolated fusion of the SIJ and, unlike known implant systems, in combination with lumbar instrumentation or as an alternative to existing sacropelvic fixation (SPF) methods, and the patient-reported

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