Slinkard Nate, Agel Julie, Swiontkowski Marc F
Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Av., Suite R200, Minneapolis, MN, 55454, USA.
Eur Spine J. 2013 Oct;22(10):2318-24. doi: 10.1007/s00586-013-2968-1. Epub 2013 Aug 23.
The purpose of this prospective case series (level II) was to determine the clinical outcomes of anterior SIJ fusion, comparing the outcomes of patients who had prior spinal fusions at any level compared to patients who have not.
This prospective study included 25 patients who underwent SIJ fusion with anterior plate fixation. All patients had failed non-operative treatment, had a positive Patrick test, and positive response to intra-articular SIJ injections with greater than 50 % pain relief. Patients had follow-up at 3, 6, 9 and 12 months where they completed Oswestry disability index (ODI) and Short Musculoskeletal Functional Assessment (SMFA) surveys. Outcome data are available for 19 patients who completed pre-operative and 12-month follow-up surveys. Their average time of the final follow-up was 1.1 years (range 10-33 months).
Significant improvements between pre-operative and the final follow-up in ODI (p = 0.007) and SMFA (p = 0.01) were observed; the ODI assessed outcomes in patients who had previous spinal fusion surgery were significantly worse than those that did not at the final follow-up (p = 0.04).
Patients who have not undergone prior spinal fusion surgery, regardless of age, gender, and BMI have better outcomes following anterior SIJ fusion.
本前瞻性病例系列研究（II级）旨在确定骶髂关节前路融合术的临床疗效，比较曾在任何节段接受过脊柱融合术的患者与未接受过脊柱融合术的患者的疗效。
本前瞻性研究纳入了25例行骶髂关节前路钢板固定融合术的患者。所有患者均经非手术治疗失败，Patrick试验阳性，关节内注射骶髂关节后疼痛缓解超过50%且反应阳性。患者在3、6、9和12个月时进行随访，期间完成Oswestry功能障碍指数（ODI）和简短肌肉骨骼功能评估（SMFA）调查。现有19例完成术前和12个月随访调查患者的结果数据。他们的最终随访平均时间为1.1年（范围10 - 33个月）。
观察到术前与最终随访时ODI（p = 0.007）和SMFA（p = 0.01）有显著改善；在最终随访时，接受过脊柱融合手术患者的ODI评估结果显著差于未接受过脊柱融合手术的患者（p = 0.04）。
未接受过脊柱融合手术的患者，无论年龄、性别和体重指数如何，在骶髂关节前路融合术后疗效更佳。
