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Significant improvement in pain, disability seen with minimally invasive SI joint fusion
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Results from this study demonstrated sacroiliac joint fusion is a safe and clinically effective procedure for patients with chronic sacroiliac joint pain. After the procedure, significant improvements were seen in back pain, leg pain and disability.
“Minimally invasive [sacroiliac] SI joint fusion procedures have demonstrated significant reduction in pain and disability, but it is important that these procedures create a bony fusion to give patients the best opportunity for long-term relief,” Richard A. Kube II, MD, FACSS, FAAOS, CIME, study author and orthopedic spine surgeon at Prairie Spine and Pain Institute, in Peoria, Ill., said in a press release. "This technique minimizes the invasiveness of the procedure without compromising any of the orthopedic principles that provide the foundation for a successful fusion."
Kube and Jeffrey M. Muir, MSc, retrospectively reviewed medical records of 18 patients who underwent 20 minimally invasive SI fusions using the SImmetry SI joint fusion system (Zyga Technology Inc.). At baseline, 6 weeks, 3 months, 6 months and 12 months postoperatively investigators collected back pain and leg pain scores using a VAS and collected disability scores with the Oswestry Disability Index (ODI).
They determined the minimal clinically important difference for the ODI scores and VAS scores and used radiographs to define the fusion status.
Results showed in 88% of the procedures investigators saw successful SI joint fusion. Investigators noted VAS scores for back pain and leg pain from baseline to 12 months postoperatively improved from 81.7 to 44.1 points and from 63.6 to 27.7 points, respectively. Disability was significant better based on ODI scores that improved from 61 points at baseline to 40.5 points at 12 months postoperatively. ‒ by Monica Jaramillo
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Disclosure: Kube reports no relevant financial disclosures.
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