Abbasi Hamid, Storlie Nick, Rusten Mitch
Neurosurgery, Ambulatory Surgical Clinic, Tristate Brain and Spine Institute, Alexandria, USA.
Neurosurgery, Inspired Spine Health, Minneapolis, USA.
Cureus. 2021 Jul 20;13(7):e16517. doi: 10.7759/cureus.16517. eCollection 2021 Jul.
Sacroiliac joint (SIJ) pain is a common cause of lower back pain and a significant source of disability in the United States. There is no consensus on the best surgical treatment for SIJ pain that is not responsive to conservative therapy. Minimally invasive fusion of the SIJ using hollow fenestrated screws from a lateral trajectory is a newer technique for SIJ fusion. This study presents perioperative and patient-reported outcomes amongst 62 patients who underwent SIJ fixation with hollow fenestrated screws. We find that mean disability on the Oswestry disability index improved from 52.2% to 34.9% at one-year post-op. Mean operative time was 34±9 minutes and blood loss was 22±35ml. Only six patients required overnight hospitalization. There were two cases of complications requiring operative intervention. We conclude that SIJ fixation using hollow fenestrated screws is a safe and effective procedure for the fixation of the SIJ. Further investigation is warranted to determine the best surgical treatment for SIJ pain.
骶髂关节（SIJ）疼痛是美国下背部疼痛的常见原因，也是导致残疾的重要因素。对于对保守治疗无反应的SIJ疼痛，最佳手术治疗方法尚无共识。采用外侧入路空心开窗螺钉进行SIJ微创融合是一种较新的SIJ融合技术。本研究呈现了62例行空心开窗螺钉固定SIJ患者的围手术期情况及患者报告的结果。我们发现，术后一年，Oswestry功能障碍指数的平均功能障碍从52.2%改善至34.9%。平均手术时间为34±9分钟，失血量为22±35毫升。仅6例患者需要过夜住院。有2例并发症需要手术干预。我们得出结论，使用空心开窗螺钉固定SIJ是一种安全有效的SIJ固定方法。有必要进行进一步研究以确定SIJ疼痛的最佳手术治疗方法。
