Long-Term Prospective Clinical And Radiographic Outcomes After Minimally Invasive Lateral Transiliac Sacroiliac Joint Fusion Using Triangular Titanium Implants

Peter G Whang,1 Emily Darr,2 S Craig Meyer,3 Don Kovalsky,4 Clay Frank,5 Harry Lockstadt,6 Robert Limoni,7 Andy J Redmond,8 Philip Ploska,9 Michael Oh,10 Abhineet Chowdhary,11 Daniel Cher,12 Travis Hillen13 1Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven,...

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Autores principales:	Whang PG, Darr E, Meyer SC, Kovalsky D, Frank C, Lockstadt H, Limoni R, Redmond AJ, Ploska P, Oh M, Chowdhary A, Cher D, Hillen T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	• Sacroiliac joint pain • Sacroiliac joint degeneration • Arthrodesis • Sacroiliac joint fusion Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/20187a6db3124779bc97d4a90e1534f9
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spelling	oai:doaj.org-article:20187a6db3124779bc97d4a90e1534f92021-12-02T08:42:40ZLong-Term Prospective Clinical And Radiographic Outcomes After Minimally Invasive Lateral Transiliac Sacroiliac Joint Fusion Using Triangular Titanium Implants1179-1470https://doaj.org/article/20187a6db3124779bc97d4a90e1534f92019-09-01T00:00:00Zhttps://www.dovepress.com/long-term-prospective-clinical-and-radiographic-outcomes-after-minimal-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Peter G Whang,1 Emily Darr,2 S Craig Meyer,3 Don Kovalsky,4 Clay Frank,5 Harry Lockstadt,6 Robert Limoni,7 Andy J Redmond,8 Philip Ploska,9 Michael Oh,10 Abhineet Chowdhary,11 Daniel Cher,12 Travis Hillen13 1Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, CT, USA; 2Department of Orthopaedics, Medical University of South Carolina, Charleston, SC, USA; 3Columbia Orthopaedic Medical Group, Columbia, Mo, USA; 4Orthopaedic Center of Southern Illinois, Mt. Vernon, IL, USA; 5Integrated Spine Care, Wawautosa, WI, USA; 6Bluegrass Orthopedics, Lexington, KY, USA; 7BayCare Clinic Orthopedics and Sports Medicine, Green Bay, WI, USA; 8Precision Spine Care, Tyler, TX, USA; 9OrthoSpine Solutions, Stockbridge, GA, USA; 10Department of Neurosurgery, Allegheny General Hospital, Pittsburgh, PA, USA; 11Neuroscience Institute, Overlake Hospital, Bellevue, WA, USA; 12Clinical Affairs, SI-BONE, Inc, Santa Clara, CA, USA; 13Department of Radiology, Division of Diagnostic Radiology, Musculoskeletal Section, Washington University St. Louis, St. Louis, MO, USACorrespondence: Peter G WhangDepartment of Orthopaedics and Rehabilitation, Yale University School of Medicine, P.O. Box 208071, New Haven, CT 06520-8071, USAEmail peter.whang@yale.eduBackground: Accumulating evidence supports the long-term safety and effectiveness of minimally invasive sacroiliac joint fusion (SIJF) for sacroiliac joint dysfunction.Objective: To report 5-year clinical and radiographic follow-up in patients undergoing SIJF using triangular titanium implants (TTI).Methods: One hundred and three subjects at 12 centers treated with SIJF using TTI in two prospective clinical trials (NCT01640353 and NCT01681004) were enrolled and followed in the current study (NCT02270203) with clinic visits at 3, 4 and 5 years. CT scans performed at 5 years were compared to prior CT scans (at 1 or 2 years) by an independent radiologist.Results: Compared to baseline scores, SIJ pain scores at 5 years decreased by a mean of 54 points, disability scores (Oswestry Disability Index) decreased by 26 points, and quality of life scores (EuroQOL-5D time trade-off index) increased by 0.29 points (0–1 scale) (all p<0.0001). Satisfaction rates were high and the proportion of subjects taking opioids decreased from 77% at baseline to 41% at 5-year follow-up. Independent radiographic analysis showed a high rate (98%) of bone apposition to implants on both the sacral and iliac sides of the SI joint, with a high rate of bony bridging (87%) and a low rate of radiolucencies suggestive of loosening (5%).Conclusion: A 5-year follow-up showed continued excellent clinical responses in patients with SIJ pain treated with SIJF using triangular titanium implants along with a high rate (88%) of joint fusion.Level of evidence: Level II.Keywords: sacroiliac joint pain, sacroiliac joint degeneration, arthrodesis, sacroiliac joint fusionWhang PGDarr EMeyer SCKovalsky DFrank CLockstadt HLimoni RRedmond AJPloska POh MChowdhary ACher DCher DHillen TDove Medical Pressarticle• Sacroiliac joint pain • Sacroiliac joint degeneration • Arthrodesis • Sacroiliac joint fusionMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol Volume 12, Pp 411-422 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	• Sacroiliac joint pain • Sacroiliac joint degeneration • Arthrodesis • Sacroiliac joint fusion Medical technology R855-855.5
spellingShingle	• Sacroiliac joint pain • Sacroiliac joint degeneration • Arthrodesis • Sacroiliac joint fusion Medical technology R855-855.5 Whang PG Darr E Meyer SC Kovalsky D Frank C Lockstadt H Limoni R Redmond AJ Ploska P Oh M Chowdhary A Cher D Cher D Hillen T Long-Term Prospective Clinical And Radiographic Outcomes After Minimally Invasive Lateral Transiliac Sacroiliac Joint Fusion Using Triangular Titanium Implants
description	Peter G Whang,1 Emily Darr,2 S Craig Meyer,3 Don Kovalsky,4 Clay Frank,5 Harry Lockstadt,6 Robert Limoni,7 Andy J Redmond,8 Philip Ploska,9 Michael Oh,10 Abhineet Chowdhary,11 Daniel Cher,12 Travis Hillen13 1Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, CT, USA; 2Department of Orthopaedics, Medical University of South Carolina, Charleston, SC, USA; 3Columbia Orthopaedic Medical Group, Columbia, Mo, USA; 4Orthopaedic Center of Southern Illinois, Mt. Vernon, IL, USA; 5Integrated Spine Care, Wawautosa, WI, USA; 6Bluegrass Orthopedics, Lexington, KY, USA; 7BayCare Clinic Orthopedics and Sports Medicine, Green Bay, WI, USA; 8Precision Spine Care, Tyler, TX, USA; 9OrthoSpine Solutions, Stockbridge, GA, USA; 10Department of Neurosurgery, Allegheny General Hospital, Pittsburgh, PA, USA; 11Neuroscience Institute, Overlake Hospital, Bellevue, WA, USA; 12Clinical Affairs, SI-BONE, Inc, Santa Clara, CA, USA; 13Department of Radiology, Division of Diagnostic Radiology, Musculoskeletal Section, Washington University St. Louis, St. Louis, MO, USACorrespondence: Peter G WhangDepartment of Orthopaedics and Rehabilitation, Yale University School of Medicine, P.O. Box 208071, New Haven, CT 06520-8071, USAEmail peter.whang@yale.eduBackground: Accumulating evidence supports the long-term safety and effectiveness of minimally invasive sacroiliac joint fusion (SIJF) for sacroiliac joint dysfunction.Objective: To report 5-year clinical and radiographic follow-up in patients undergoing SIJF using triangular titanium implants (TTI).Methods: One hundred and three subjects at 12 centers treated with SIJF using TTI in two prospective clinical trials (NCT01640353 and NCT01681004) were enrolled and followed in the current study (NCT02270203) with clinic visits at 3, 4 and 5 years. CT scans performed at 5 years were compared to prior CT scans (at 1 or 2 years) by an independent radiologist.Results: Compared to baseline scores, SIJ pain scores at 5 years decreased by a mean of 54 points, disability scores (Oswestry Disability Index) decreased by 26 points, and quality of life scores (EuroQOL-5D time trade-off index) increased by 0.29 points (0–1 scale) (all p<0.0001). Satisfaction rates were high and the proportion of subjects taking opioids decreased from 77% at baseline to 41% at 5-year follow-up. Independent radiographic analysis showed a high rate (98%) of bone apposition to implants on both the sacral and iliac sides of the SI joint, with a high rate of bony bridging (87%) and a low rate of radiolucencies suggestive of loosening (5%).Conclusion: A 5-year follow-up showed continued excellent clinical responses in patients with SIJ pain treated with SIJF using triangular titanium implants along with a high rate (88%) of joint fusion.Level of evidence: Level II.Keywords: sacroiliac joint pain, sacroiliac joint degeneration, arthrodesis, sacroiliac joint fusion
format	article
author	Whang PG Darr E Meyer SC Kovalsky D Frank C Lockstadt H Limoni R Redmond AJ Ploska P Oh M Chowdhary A Cher D Cher D Hillen T
author_facet	Whang PG Darr E Meyer SC Kovalsky D Frank C Lockstadt H Limoni R Redmond AJ Ploska P Oh M Chowdhary A Cher D Cher D Hillen T
author_sort	Whang PG
title	Long-Term Prospective Clinical And Radiographic Outcomes After Minimally Invasive Lateral Transiliac Sacroiliac Joint Fusion Using Triangular Titanium Implants
title_short	Long-Term Prospective Clinical And Radiographic Outcomes After Minimally Invasive Lateral Transiliac Sacroiliac Joint Fusion Using Triangular Titanium Implants
title_full	Long-Term Prospective Clinical And Radiographic Outcomes After Minimally Invasive Lateral Transiliac Sacroiliac Joint Fusion Using Triangular Titanium Implants
title_fullStr	Long-Term Prospective Clinical And Radiographic Outcomes After Minimally Invasive Lateral Transiliac Sacroiliac Joint Fusion Using Triangular Titanium Implants
title_full_unstemmed	Long-Term Prospective Clinical And Radiographic Outcomes After Minimally Invasive Lateral Transiliac Sacroiliac Joint Fusion Using Triangular Titanium Implants
title_sort	long-term prospective clinical and radiographic outcomes after minimally invasive lateral transiliac sacroiliac joint fusion using triangular titanium implants
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/20187a6db3124779bc97d4a90e1534f9
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Long-Term Prospective Clinical And Radiographic Outcomes After Minimally Invasive Lateral Transiliac Sacroiliac Joint Fusion Using Triangular Titanium Implants

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