Minimally invasive lateral transiliac sacroiliac joint fusion using 3D-printed triangular titanium implants

Vikas Patel,1 Don Kovalsky,2 S Craig Meyer,3 Abhineet Chowdhary,4 Harry Lockstadt,5 Fernando Techy,6 James Billys,7 Robert Limoni,8 Philip S Yuan,9 Andy Kranenburg,10 Daniel Cher,11 Gabriel Tender121Department of Orthopedics, University of Colorado, Aurora, CO, USA; 2Orthopaedic Center of Southern I...

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Autores principales: Patel V, Kovalsky D, Meyer SC, Chowdhary A, Lockstadt H, Techy F, Billys J, Limoni R, Yuan PS, Kranenburg A, Cher D, Tender G
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Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:db8e9b0d222f450389d68e368afd830c2021-12-02T05:28:27ZMinimally invasive lateral transiliac sacroiliac joint fusion using 3D-printed triangular titanium implants1179-1470https://doaj.org/article/db8e9b0d222f450389d68e368afd830c2019-05-01T00:00:00Zhttps://www.dovepress.com/minimally-invasive-lateral-transiliac-sacroiliac-joint-fusion-using-3d-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Vikas Patel,1 Don Kovalsky,2 S Craig Meyer,3 Abhineet Chowdhary,4 Harry Lockstadt,5 Fernando Techy,6 James Billys,7 Robert Limoni,8 Philip S Yuan,9 Andy Kranenburg,10 Daniel Cher,11 Gabriel Tender121Department of Orthopedics, University of Colorado, Aurora, CO, USA; 2Orthopaedic Center of Southern Illinois, Mt. Vernon, IL, USA; 3Columbia Orthopaedic Medical Group, Columbia, MO, USA; 4Overlake Medical Center, Bellevue, WA, USA; 5Bluegrass Orthopaedics, Lexington, KY, USA; 6ClinTech Center for Spine Health, Johnstown, CO, USA; 7The B.A.C.K. Center, Melbourne, FL, USA; 8BayCare Clinic Orthopedics & Sports Medicine, Green Bay, WI, USA; 9Memorial Orthopaedic Surgical Group, Long Beach, CA, USA; 10South Oregon Orthopedics, Medford, OR, USA; 11SI-BONE, Inc., Santa Clara, CA, USA; 12Department of Neurosurgery, Louisiana State University, New Orleans, LA, USABackground: Minimally invasive sacroiliac joint (SIJ) fusion (SIJF) has become an increasingly accepted surgical option for chronic SI joint dysfunction, a prevalent cause of chronic low back/buttock pain.Objective: To report clinical and functional outcomes of SIJF using 3D-printed triangular titanium implants (TTI) for patients with chronic SI joint dysfunction.Methods: A total of 28 subjects with SIJ dysfunction at 8 centers underwent SIJF with 3D TTI and had scheduled follow-up to 6 months (NCT03122899).Results: Mean preoperative SIJ pain score was 79.1 and mean preoperative Oswestry Disability Index (ODI) was 49.9. At 6 months, pain scores decreased by 51 points and ODI decreased by 23.6 points (both p<0.0001). The proportion of subjects able to perform various back/pelvis-related physical functions with minimal difficulty improved significantly for nearly all activities. Opioid use decreased and physical function, as assessed with three objective tests, improved.Conclusion: Early results from this prospective multicenter trial confirm that clinical responses to a 3D triangular titanium implant for SIJF are similar to those from prior trials, with improved physical function and decreased opioid use.Level of evidence: Level II.Keywords: spine surgery, pelvic pain, osteoarthritis, arthrodesisPatel VKovalsky DMeyer SCChowdhary ALockstadt HTechy FBillys JLimoni RYuan PSKranenburg ACher DTender GDove Medical PressarticleMinimally invasive sacroiliac joint fusionsacroiliac joint painchronic low back painMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol Volume 12, Pp 203-214 (2019)
institution DOAJ
collection DOAJ
language EN
topic Minimally invasive sacroiliac joint fusion
sacroiliac joint pain
chronic low back pain
Medical technology
R855-855.5
spellingShingle Minimally invasive sacroiliac joint fusion
sacroiliac joint pain
chronic low back pain
Medical technology
R855-855.5
Patel V
Kovalsky D
Meyer SC
Chowdhary A
Lockstadt H
Techy F
Billys J
Limoni R
Yuan PS
Kranenburg A
Cher D
Tender G
Minimally invasive lateral transiliac sacroiliac joint fusion using 3D-printed triangular titanium implants
description Vikas Patel,1 Don Kovalsky,2 S Craig Meyer,3 Abhineet Chowdhary,4 Harry Lockstadt,5 Fernando Techy,6 James Billys,7 Robert Limoni,8 Philip S Yuan,9 Andy Kranenburg,10 Daniel Cher,11 Gabriel Tender121Department of Orthopedics, University of Colorado, Aurora, CO, USA; 2Orthopaedic Center of Southern Illinois, Mt. Vernon, IL, USA; 3Columbia Orthopaedic Medical Group, Columbia, MO, USA; 4Overlake Medical Center, Bellevue, WA, USA; 5Bluegrass Orthopaedics, Lexington, KY, USA; 6ClinTech Center for Spine Health, Johnstown, CO, USA; 7The B.A.C.K. Center, Melbourne, FL, USA; 8BayCare Clinic Orthopedics & Sports Medicine, Green Bay, WI, USA; 9Memorial Orthopaedic Surgical Group, Long Beach, CA, USA; 10South Oregon Orthopedics, Medford, OR, USA; 11SI-BONE, Inc., Santa Clara, CA, USA; 12Department of Neurosurgery, Louisiana State University, New Orleans, LA, USABackground: Minimally invasive sacroiliac joint (SIJ) fusion (SIJF) has become an increasingly accepted surgical option for chronic SI joint dysfunction, a prevalent cause of chronic low back/buttock pain.Objective: To report clinical and functional outcomes of SIJF using 3D-printed triangular titanium implants (TTI) for patients with chronic SI joint dysfunction.Methods: A total of 28 subjects with SIJ dysfunction at 8 centers underwent SIJF with 3D TTI and had scheduled follow-up to 6 months (NCT03122899).Results: Mean preoperative SIJ pain score was 79.1 and mean preoperative Oswestry Disability Index (ODI) was 49.9. At 6 months, pain scores decreased by 51 points and ODI decreased by 23.6 points (both p<0.0001). The proportion of subjects able to perform various back/pelvis-related physical functions with minimal difficulty improved significantly for nearly all activities. Opioid use decreased and physical function, as assessed with three objective tests, improved.Conclusion: Early results from this prospective multicenter trial confirm that clinical responses to a 3D triangular titanium implant for SIJF are similar to those from prior trials, with improved physical function and decreased opioid use.Level of evidence: Level II.Keywords: spine surgery, pelvic pain, osteoarthritis, arthrodesis
format article
author Patel V
Kovalsky D
Meyer SC
Chowdhary A
Lockstadt H
Techy F
Billys J
Limoni R
Yuan PS
Kranenburg A
Cher D
Tender G
author_facet Patel V
Kovalsky D
Meyer SC
Chowdhary A
Lockstadt H
Techy F
Billys J
Limoni R
Yuan PS
Kranenburg A
Cher D
Tender G
author_sort Patel V
title Minimally invasive lateral transiliac sacroiliac joint fusion using 3D-printed triangular titanium implants
title_short Minimally invasive lateral transiliac sacroiliac joint fusion using 3D-printed triangular titanium implants
title_full Minimally invasive lateral transiliac sacroiliac joint fusion using 3D-printed triangular titanium implants
title_fullStr Minimally invasive lateral transiliac sacroiliac joint fusion using 3D-printed triangular titanium implants
title_full_unstemmed Minimally invasive lateral transiliac sacroiliac joint fusion using 3D-printed triangular titanium implants
title_sort minimally invasive lateral transiliac sacroiliac joint fusion using 3d-printed triangular titanium implants
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/db8e9b0d222f450389d68e368afd830c
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