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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Dove Medical Press
2019
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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) |
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Minimally invasive sacroiliac joint fusion sacroiliac joint pain chronic low back pain Medical technology R855-855.5 |
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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 |
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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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