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. 2012:6:495-502.
doi: 10.2174/1874325001206010495. Epub 2012 Nov 30.

Sacroiliac Joint Arthrodesis-MIS Technique with Titanium Implants: Report of the First 50 Patients and Outcomes

Leonard Rudolf  1
Affiliations

Sacroiliac Joint Arthrodesis-MIS Technique with Titanium Implants: Report of the First 50 Patients and Outcomes

Leonard Rudolf. Open Orthop J. 2012.

Abstract

This retrospective study of 50 consecutive patients treated by a single orthopedic spine surgeon in private practice was conducted to evaluate the safety and efficacy of minimally invasive sacroiliac joint fusion using a series of triangular, porous plasma spray coated titanium implants.Medical charts were reviewed for perioperative metrics, complications, pain, quality of life and satisfaction with surgery. All patients were contacted at a 24 months post-op to assess SI joint pain, satisfaction with surgery and work status.An early and sustained statistically significant improvement in pain function was identified at all post-operative time points (ANOVA, p<0.000). A clinically significant improvement (>2 point change from baseline) was observed in 7 out of 9 domains of daily living. The complication rate was low and more than 80% of patients would have the same surgery again.MIS SI joint fusion appears to be a safe and effective procedure for the treatment of sacroiliac joint disruption or degenerative sacroiliitis.

Keywords: Arthrodesis; minimally invasive surgery; sacroiliac joint..

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Figures

Fig. (1)
Fig. (1)
Denis zones.
Fig. (2)
Fig. (2)
Fluoroscopic image of the first implant placed over the Steinmann Pin.
Fig. (3)
Fig. (3)
AP fluoroscopic image of all 3 implants in place.
Fig. (4)
Fig. (4)
Lateral fluoroscopic image of all 3 implants in place.
See this image and copyright information in PMC

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