RESEARCH ARTICLE


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



Leonard Rudolf*
Alice Peck Day Memorial Hospital, 129 Mascoma Street, Lebanon, NH 03766, USA


Article Metrics

CrossRef Citations:
0
Total Statistics:

Full-Text HTML Views: 2381
Abstract HTML Views: 1075
PDF Downloads: 289
Total Views/Downloads: 3745
Unique Statistics:

Full-Text HTML Views: 873
Abstract HTML Views: 632
PDF Downloads: 185
Total Views/Downloads: 1690



© Leonard Rudolf; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Alice Peck Day Memorial Hospital, 129 Mascoma Street, Lebanon, NH 03766, USA; Tel: 603 448 6344; Fax: 603 448 3405; E-mail: leonardrudolf@gmail.com


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.