Perioperative Outcomes of Minimally Invasive Sacroilliac Joint Fusion Using Hollow Screws Through a Lateral Approach: A Single Surgeon Retrospective Cohort Study.
atypical back pain
chronic low back pain (clbp)
sacro iliac fusion
sacro iliac joint
sacro iliac joint injections
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
accepted:
20
07
2021
entrez:
26
7
2021
pubmed:
27
7
2021
medline:
27
7
2021
Statut:
epublish
Résumé
Sacroiliac joint (SIJ) pain is a common cause of lower back pain and a significant source of disability in the United States. There is no consensus on the best surgical treatment for SIJ pain that is not responsive to conservative therapy. Minimally invasive fusion of the SIJ using hollow fenestrated screws from a lateral trajectory is a newer technique for SIJ fusion. This study presents perioperative and patient-reported outcomes amongst 62 patients who underwent SIJ fixation with hollow fenestrated screws. We find that mean disability on the Oswestry disability index improved from 52.2% to 34.9% at one-year post-op. Mean operative time was 34±9 minutes and blood loss was 22±35ml. Only six patients required overnight hospitalization. There were two cases of complications requiring operative intervention. We conclude that SIJ fixation using hollow fenestrated screws is a safe and effective procedure for the fixation of the SIJ. Further investigation is warranted to determine the best surgical treatment for SIJ pain.
Identifiants
pubmed: 34306901
doi: 10.7759/cureus.16517
pmc: PMC8294031
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e16517Informations de copyright
Copyright © 2021, Abbasi et al.
Déclaration de conflit d'intérêts
Hamid Abbasi owns patents related to devices and implants for fusion of the sacroiliac joint
Références
Pain Med. 2011 May;12(5):732-9
pubmed: 21481166
Clin Spine Surg. 2016 Mar;29(2):42-8
pubmed: 26889985
Spine (Phila Pa 1976). 2009 Jan 1;34(1):E27-32
pubmed: 19127145
Spine (Phila Pa 1976). 2000 Nov 15;25(22):2940-52; discussion 2952
pubmed: 11074683
Int J Spine Surg. 2020 Feb 10;14(Suppl 1):20-29
pubmed: 32123654
J Am Acad Orthop Surg. 2004 Jul-Aug;12(4):255-65
pubmed: 15473677
Open Orthop J. 2014 Jan 24;8:1-6
pubmed: 24551025
Eur Spine J. 2013 Oct;22(10):2325-31
pubmed: 23686478
Pain Med. 2011 Feb;12(2):224-33
pubmed: 21266006
Ann Rheum Dis. 2014 Jun;73(6):968-74
pubmed: 24665116
Med Devices (Auckl). 2015 Sep 16;8:395-403
pubmed: 26396547
JAMA. 2008 Feb 13;299(6):656-64
pubmed: 18270354
Int J Spine Surg. 2016 Apr 20;10:13
pubmed: 27162715
Neurosurgery. 2015 Nov;77(5):674-90; discussion 690-1
pubmed: 26291338