Patients' satisfaction and outcomes of minimally invasive sacroiliac joint fusion at a tertiary care center

2020 
Objectives: Sacroiliac (SI) joint dysfunction usually relates to SI joint pain that results from unusual patterns of motion within the joint, whether excessive or insufficient. SI joint pain is a frequent reason for axial back pain, which is suffered by around 30% of the population. This retrospective study intends to examine the safety and efficiency of minimally invasive (MI) SI joint fusion that employs triangular implants for individuals where conservative management has not succeeded. Methods: An observational study with eight patients on whom one surgeon performed ten consecutive SI joint fusion operations; all patients have completed their 12-month review. The study has examined medical records for demographic details, perioperative data, pain scores, satisfaction levels, safety procedures, complications, and fusion rates 1 year after the operation. Results: At the time of surgery, the patients had a mean age of 37.87 years (ranging from 17 to 58). All but one patient were female. Between 2016 and 2019, 10 SI joints in these eight patients underwent fusion. Four patients had left side fusion, two had right side fusion, and two had bilateral SI joint fusion. Pain scores were reduced considerably, with a mean drop of 6. On the 12-month follow-up, with only one joint had not undergone satisfactory fusion. Conclusions: This study demonstrated that MISI joint fusion employing triangular implants is both safe and effective for treating this particular cohort of patients.
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