Minimally Invasive SacroIliac Fusion posted by : Dr. Barnetton: 18 November, 2017

History of sacroiliac (SI) joint disorders

Sacroiliac (SI) joint disorders and the associated symptoms have been well known for over a century. In fact, in the early 1900s symptoms, which seemed to arise from the back were frequently attributed to the sacroiliac (SI) joint, and open surgical procedures were used to treat the joint. In 1934, a paper was published on the spinal disc as a source of pain in the back. As a result, disc treatment became the most common operation for orthopedic surgeons, and the sacroiliac (SI) joint was all but forgotten.1 Now, 70 years later, orthopedic and spine surgeons have recognized that the disc is not the only source of low back pain (LBP).According to scientific data, it's common for pain from the SI joint to mimic disc or low back pain. To avoid unnecessary lumbar spine surgery, SI joint disorders should be strongly considered in low back pain diagnosis.
image-6 Sacroiliac (SI) joint disorders require appropriate interpretation of a patient’s history, clinical exam results, and imaging studies. Often hip pathology and lumbar pathology coexist with SI joint pathology. During physical examination, patients with SI joint disorders exhibit any/all of the following symptoms:
  • Lower back pain, unable to sit for long periods
  • Lower extremity pain (numbness, tingling, weakness)
  • Pelvis / buttock pain, Hip / groin pain
  • Unilateral leg instability (buckling, giving way)
  • Disturbed sleep patterns, can’t cross legs.
image-7 The iFuse Implant System was developed as a minimally invasive surgical option for patients who have failed conservative treatment options. Over the last several years more than 10,000 procedures have been performed and over 700 surgeons have been trained to provide this treatment option for their patients. The iFuse Implant System is intended for sacroiliac joint fusion for conditions including sacroiliac joint disruptions and degenerative sacroiliitis. As with all surgical procedures and permanent implants, there are risks and considerations associated with surgery and use of the iFuse Implant.
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