Rudolf Leonard
Alice Peck Day Memorial Hospital, 129 Mascoma Street, Lebanon, NH 03766, USA.
Open Orthop J. 2012;6:495-502. doi: 10.2174/1874325001206010495. Epub 2012 Nov 30.
This retrospective study of 50 consecutive patients treated by a single orthopedic spine surgeon in private practice was conducted to evaluate the safety and efficacy of minimally invasive sacroiliac joint fusion using a series of triangular, porous plasma spray coated titanium implants.Medical charts were reviewed for perioperative metrics, complications, pain, quality of life and satisfaction with surgery. All patients were contacted at a 24 months post-op to assess SI joint pain, satisfaction with surgery and work status.An early and sustained statistically significant improvement in pain function was identified at all post-operative time points (ANOVA, p<0.000). A clinically significant improvement (>2 point change from baseline) was observed in 7 out of 9 domains of daily living. The complication rate was low and more than 80% of patients would have the same surgery again.MIS SI joint fusion appears to be a safe and effective procedure for the treatment of sacroiliac joint disruption or degenerative sacroiliitis.
本回顾性研究纳入了由一名私人执业的骨科脊柱外科医生连续治疗的50例患者，旨在评估使用一系列三角形、多孔等离子喷涂钛植入物进行微创骶髂关节融合术的安全性和有效性。对病历进行了回顾，以获取围手术期指标、并发症、疼痛、生活质量和手术满意度等信息。在术后24个月时联系了所有患者，以评估骶髂关节疼痛、手术满意度和工作状态。在所有术后时间点均发现疼痛功能有早期且持续的统计学显著改善（方差分析，p<0.000）。在9个日常生活领域中的7个领域观察到了具有临床意义的改善（与基线相比变化>2分）。并发症发生率较低，超过80%的患者愿意再次接受相同手术。微创骶髂关节融合术似乎是治疗骶髂关节脱位或退行性骶髂关节炎的一种安全有效的方法。
