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Clinical Trial
. 2013 Oct;22(10):2325-31.
doi: 10.1007/s00586-013-2825-2. Epub 2013 May 18.

The percutaneous stabilisation of the sacroiliac joint with hollow modular anchorage screws: a prospective outcome study

Lyndon W Mason  1 , Iqroop Chopra, Khitish Mohanty
Affiliations
Clinical Trial

The percutaneous stabilisation of the sacroiliac joint with hollow modular anchorage screws: a prospective outcome study

Lyndon W Mason et al. Eur Spine J. 2013 Oct.

Abstract

Purpose: The use of percutaneous iliosacral screw fixation as a treatment of sacroiliac joint pain has been reported to be successful. This study was a prospective single surgeon series to evaluate the short-term outcomes of patients who underwent percutaneous sacroiliac joint stabilisation.

Methods: Between July 2004 and February 2011, 73 patients underwent percutaneous sacroiliac joint fusion in our unit. All patients completed a short form (SF)-36 questionnaire, visual analogue pain score and Majeed scoring questionnaire prior to treatment and at last follow-up.

Results: 55 patients (9 male and 46 female) completed follow-up. The average follow-up period was for 36.18 months (range 12-84). The mean preoperative SF-36 scores were 26.59 for physical health and 40.38 for mental health. The mean postoperative SF-36 scores were 42.93 for physical health and 52.77 for mental health. The mean visual analogue pain scores were 8.1 preoperative and 4.5 postoperative. The mean pelvic specific scoring were 36.9 preoperative and 64.78 postoperative. We noted that patients who had previous instrumented spinal surgery did significantly worse than those who had not. We had two nerve root-related complications.

Conclusion: We conclude that in selected patient group who respond positively to CT-guided injection, a percutaneous SI joint stabilisation is beneficial in effecting pain relief and functional improvement.

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Figures

Fig. 1
Fig. 1
An anteroposterior radiograph illustrating the metal work of previous instrumented spinal surgery prior to a right sacroiliac joint fusion. This radiograph was taken 6 months post percutaneous sacroiliac joint fusion
Fig. 2
Fig. 2
An axial view CT through the S1 sacral ala 6 months post bilateral percutaneous sacroiliac joint fusion. On the right side, the screw placement is ideal and shows a channel of bone transverse through the metal cage across the joint. The left anchorage screw breaches the sacral ala and lies in close proximity to the L5 nerve root
Fig. 3
Fig. 3
Anteroposterior radiograph 7 years post bilateral sacroiliac joint fusion illustrating sclerosis of both sacroiliac joints with no loosening of hardware. This patient remains very satisfied
See this image and copyright information in PMC

Comment in

References

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