Percutaneous sacroiliac joint arthrodesis: a novel technique.
METHODS
Consecutive case series.


OBJECTIVE
To report a new percutaneous sacroiliac joint (SIJ) arthrodesis technique utilizing a Hollow Modular Anchorage screw.


BACKGROUND
A variety of SIJ arthrodesis techniques have been reported in the established academia to treat intractable SIJ pain. None combines minimal surgical exposure, instrumented fixation, and bone grating.


METHODS
We describe a new percutaneous SIJ arthrodesis technique for patients with intractable SIJ pain. Preoperative and postoperative Oswestry Disability Index (ODI), Visual Analog Scale (VAS) for pain, and postoperative subjective patients' satisfaction were assessed for all patients. Minimum 2 years follow-up is documented.


RESULTS
Nine patients underwent SIJ arthrodesis with the new technique. The mean ODI value dropped from 59 (range: 34 to 70) preoperatively to 45 (range: 28 to 60) postoperatively (P<or=0.005). The mean VAS value dropped from 8.1 (range: 7 to 9) preoperatively to 4.6 (range: 3 to 7) postoperatively (P<or=0.002). The mean patients' satisfaction was 6.8 (range: 5 to 8).


CONCLUSIONS
The new technique may offer a safe and effective treatment for intractable SIJ pain.
Al-Khayer
Ahmad
A
Southern General Hospital, Glasgow, UK. hamadafirst@yahoo.com
Hegarty
Jim
J
Hahn
David
D
Grevitt
Michael Paul
MP
D000328:Adult; D018771:Arthralgia / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001174:Arthrodesis / Q000295:instrumentation / Q000379:methods*; D001863:Bone Screws / Q000592:standards* / Q000639:trends; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators / Q000592:standards / Q000639:trends; D017116:Low Back Pain / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D010147:Pain Measurement; D017060:Patient Satisfaction; D011859:Radiography; D012189:Retrospective Studies; D012446:Sacroiliac Joint / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D012447:Sacrum / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D011795:Surveys and Questionnaires; D016896:Treatment Outcome