Apaydin Aydın Sinan, Yurtluk Mehmet Denizhan, Than Khoi D
Department of Neurosurgery, Faculty of Medicine, Karabük University, Karabük, Turkiye.
Faculty of Medicine, Bezmiâlem University, İstanbul, Turkiye.
Turk J Med Sci. 2024 Jul 1;54(6):1185-1191. doi: 10.55730/1300-0144.5898. eCollection 2024.
BACKGROUND/AIM: The sacroiliac joint (SIJ) is a frequently overlooked source of lower back pain (LBP). Recently, it has gained recognition as a significant pain generator, prompting increased interest in surgeries targeting this area. Traditionally, open SIJ fusion was used to stabilize pelvic and sacral fractures, and then it was adapted for use in pain management until the development of minimally invasive surgery (MIS). Revolutionizing the field, MIS offers fast and effective pain relief with significantly less risk of postsurgical adverse events, thereby gaining increased attention among surgeons. This review aims to highlight the current advancements in the literature regarding MIS SIJ fusion.
The current literature demonstrates the superiority of MIS over open surgery with satisfactory patient outcomes and significantly lower complication rates. With the advancement in navigation and the inclusion of robotic assistance, MIS SIJ fusion is expected to become more ergonomically feasible for surgeons and shorten the learning curve for new trainees worldwide.
背景/目的：骶髂关节（SIJ）是下背痛（LBP）的一个常被忽视的疼痛来源。近来，它已被公认为一个重要的疼痛根源，这促使人们对针对该区域的手术的兴趣增加。传统上，开放性骶髂关节融合术用于稳定骨盆和骶骨骨折，随后它被应用于疼痛管理，直至微创手术（MIS）的出现。微创手术彻底改变了这一领域，它能快速有效地缓解疼痛，且术后不良事件风险显著降低，从而在外科医生中获得了更多关注。本综述旨在强调文献中关于微创骶髂关节融合术的当前进展。
当前文献表明，微创手术相对于开放手术具有优越性，患者预后良好，并发症发生率显著更低。随着导航技术的进步以及机器人辅助技术的引入，微创骶髂关节融合术预计对外科医生而言在人体工程学上更可行，并缩短全球新学员的学习曲线。
