Abstract
Background: Fusion of the sacroiliac (SI) joint as a treatment for low back pain remains controversial. The purpose of this manuscript is to review the current literature and clinical outcomes of SI joint fusion surgery. Methods: We conducted a literature review and included studies with the term "sacroiliac joint fusion" that had at least 12 months of clinical follow-up, reported on minimally invasive techniques, and included patient-reported outcome measures. Results: Two approach types (dorsal and lateral) and numerous different implant manufacturers were identified. Most studies included level 4 data, with a small number of level 2 prospective cohort studies and 2 prospective level 1 studies. Every reviewed study reported clinical benefit in terms of improved pain scores or improvement in validated disability measures. Complication rates were low. Conclusions: Minimally invasive SI joint fusion provides clinically significant improvement in pain scores and disability in most patients, across multiple studies and implant manufacturers.
Original language | English (US) |
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Pages (from-to) | S20-S29 |
Journal | International Journal of Spine Surgery |
Volume | 14 |
DOIs | |
State | Published - Feb 1 2020 |
Bibliographical note
Publisher Copyright:© International Society for the Advancement of Spine Surgery.
Keywords
- Back pain
- Biomechanics
- Evidence
- Outcomes
- Review
- SI fusion
- Sacroiliac joint fusion