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This article examines the effects of different techniques for minimally invasive sacroiliac joint (SIJ) fusion on pain relief and functional improvement in patients with chronic SIJ pain who do not respond to conservative treatment. The study analyzed data from 45 patients who underwent SIJ fusion and compared outcomes between those who underwent lateral fusion and those who underwent posterior oblique fusion. The results showed that the posterior oblique technique resulted in shorter operative times and duration of hospital stay, as well as greater pain relief and functional improvement compared to the lateral technique. This suggests that the posterior oblique technique may be more efficient and beneficial for managing chronic SIJ pain through joint fusion
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established spine facility in London
Published article
CONCLUSIONS: Compared to the lateral technique group, patients undergoing minimally invasive SIJ fusion through the posterior oblique technique experienced greater pain relief and demonstrated a trend toward better functional improvement, with shorter operative times and duration of hospital stay. The posterior oblique technique may be more efficient and beneficial to manage patients suffering from chronic SIJ pain through joint fusion.
Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
N Am Spine Soc J. 2023 Aug 5;15:100259. doi: 10.1016/j.xnsj.2023.100259. eCollection 2023 Sep.ABSTRACTBACKGROUND: Management of chronic sacroiliac joint (SIJ) pain among patients who do not respond to nonsurgical treatment is increasingly turning toward minimally invasive SIJ fusion. There are different techniques available to perform this procedure, with the lateral technique being more commonly studied than,
N Am Spine Soc J. 2023 Aug 5;15:100259. doi: 10.1016/j.xnsj.2023.100259. eCollection 2023 Sep.
ABSTRACT
BACKGROUND: Management of chronic sacroiliac joint (SIJ) pain among patients who do not respond to nonsurgical treatment is increasingly turning toward minimally invasive SIJ fusion. There are different techniques available to perform this procedure, with the lateral technique being more commonly studied than the posterior oblique technique. This study examined the effects of these techniques on pain relief and functional improvement, both preoperatively and at a 12-month follow-up.
METHODS: This retrospective cohort study analyzed data from 45 patients who underwent SIJ fusion. Included patients were ≥50 years old, nonresponsive to conservative treatment. Subjects were divided into 2 cohorts based on the SIJ fusion technique. Primary outcomes were pain relief, measured by Visual Analog Scale (VAS), and functional improvement, determined by the Oswestry Disability Index (ODI); both were recorded and assessed at baseline, postoperative, and the change from pre- to postoperative. Additionally, data regarding patient demographics, previous lumbar fusion, operative time, and duration of hospital stay were collected and analyzed.
RESULTS: Baseline demographic and clinical variables exhibited no significant differences in distribution between groups. The posterior oblique cohort demonstrated a substantial reduction in operative time (over 50%) and duration of hospital stay compared to lateral cohort. Pain relief (postoperative VAS: lateral 3.5±1.7 vs. posterior oblique 2.4±1.5 [p=.02]) and functional improvement (postoperative ODI: lateral 29.6±7.3 vs. posterior oblique 21±5.7 [p≤.001]) were significantly better in the posterior oblique group. Pre- to postoperative improvement analysis indicated greater reduction in pain (VAS: lateral -4.4±1.9 vs. posterior oblique -6.1±1.5 [p=.002]) in the posterior oblique group.
CONCLUSIONS: Compared to the lateral technique group, patients undergoing minimally invasive SIJ fusion through the posterior oblique technique experienced greater pain relief and demonstrated a trend toward better functional improvement, with shorter operative times and duration of hospital stay. The posterior oblique technique may be more efficient and beneficial to manage patients suffering from chronic SIJ pain through joint fusion.
PMID:37662689 | PMC:PMC10470410 | DOI:10.1016/j.xnsj.2023.100259
The London Spine Unit : most established spine facility in London
Read the original publication:
Posterior oblique technique for sacroiliac joint fusion leads to greater pain relief and similar improvement in function compared to the lateral technique: A retrospective, comparative study
