Author:
Lorio Morgan P.,Polly Jr. David W.,Ninkovic Ivana,Ledonio Charles G.T.,Hallas Kelli,Andersson Gunnar
Abstract
Introduction:
The sacroiliac joint (SIJ) may be a source of chronic low back pain in 15 -22% of patients. Over
the past four years MIS is an emerging standard of care for SI joint fusion. The International Society for the Advancement
of Spine Surgery (ISASS) and Society for Minimally Invasive Spine Surgery (SMISS) conducted a survey of their
members to examine current preferences in surgeon practice of MIS SI fusion.
Methods:
To qualify for survey participation, the surgeon had to perform at least one open or MIS SIJ fusion procedure
between 2009 and 2012. All surgeons were instructed to review their records. This included the number of surgical
procedures performed annually from 2009-2012, site of service where each procedure was commonly performed, and
average length of stay for each approach.
Results:
Twenty four percent (121/500) of the eligible members participated in this survey. This survey revealed that the
percentage of MIS procedures increased from 39% in 2009 to over 87% in 2012. The survey showed a significant increase
in average number of MIS surgeries and a significant difference between open and MIS surgeries in 2012 (p<0.0001). In
addition, 80% of the survey respondents indicated a lack of preference toward open approach if that was the only
available option.
Conclusions:
According to performed survey, MIS SIJ fusion is preferred over open technique. Incorporation of the MIS
technique into the spine surgeon's specter of skills would allow an increased number of surgical options as well as
possible increase in outcome quality.
Publisher
Bentham Science Publishers Ltd.
Reference20 articles.
1. Sembrano JN, Polly DWJr.
How often is low back pain not coming from the back.
Spine
2009;
34
(1)
: E27-32.
2. Dreyfuss P, Dreyer SJ, Cole A , et al.
Sacroiliac joint pain.
J Am Acad Orthop
2004;
12
: 255-65.
3. Schmid HJA.
Sacroiliac diagnosis and treatment 1978-1982.
J Manual Med
1994;
1
: 33-8.
4. Bernard TNJr, Kirkaldy-Willis WH.
Recognizing specific characteristics of nonspecific low back pain.
Clin Orthop Relat Res
1987;
217
: 266-80.
5. Spiker WR, Lawrence BD, Raich AL, et al.
Surgical versus injection treatment for injection-confirmed chronic sacroiliac joint pain.
Evid Based Spine Care J
2012;
3
: 41-53.
Cited by
55 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献