Clinical Data
Review of SI Joint Fusion Procedures (Kaye - Rheumatol Ther 2021)
Novel Interventional Techniques for Chronic Pain with Minimally Invasive Arthrodesis of the Sacroiliac Joint: (INSITE, iFuse, Tricor, Rialto, and others).
Kaye AD, Edinoff AN, Scoon L, Youn S, Farrell KJ, Kaye AJ, Shah RJ, Cornett EM, Chami AA, Dixon BM, Alvarado MA, Viswanath O, Urits I, Calodney AK.
Rheumatol Ther. 2021 Sep;8(3):1061-1072. [Epub 2021 Jul 30]
DOI: 10.1007/s40744-021-00350-8; PMID: 34331270; PMCID: PMC8380604.
ABSTRACT
Acute and chronic pain are public health issues that clinicians have been battling for years. Opioid medications have been a treatment option for both chronic and acute pain; however, they can cause unwanted complications and are a major contributor to our present opioid epidemic. The sacroiliac (SI) joint is a common cause of both acute and chronic low back pain. It affects about 15-25% of patients with axial low back pain, and up to 40% of patients with ongoing pain following lumbar fusion. Recent advances in the treatment of SI joint pain have led to the development of a wide variety of SI joint fusion devices. These fusion devices seek to stabilize the joints themselves in order that they become immobile and, in theory, can no longer be a source for pain. This is a minimally invasive procedure aimed to address chronic pain without subjecting patients to lengthy surgery or medications, including opioids with the potential for addiction and abuse. Minimally invasive SI fusion can be performed by a lateral approach (i.e., iFuse, Tricor) or posterior approach (i.e., CornerLoc, LinQ, Rialto). The posterior approach requires the patient to be in the prone position but allows for less disruption of muscles with entry. More data are necessary to determine which fusion system may be best for a particular patient. SI fusion devices are a promising way of treating chronic lower back pain related to the SI joint. This narrative review will discuss various types of SI fusion devices, and their potential use in terms of their safety and efficacy.
Keywords: CornerLoc; Low back pain; Minimal invasive surgery; Rialto; SI Joint pain; Tricor; iFuse.
Author Information
Kaye AD - Department of Anesthesiology, and Department of Academic Affairs, LSU Health Shreveport, 1501 Kings Hwy, Shreveport, LA, 71103, USA.
Edinoff AN - Department of Psychiatry and Behavioral Medicine, LSU Health Shreveport, Shreveport, LA, USA.
Scoon L - Georgetown University School of Medicine, Washington, DC, USA.
Youn S - University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.
Farrell KJ, Viswanath O - Department of Anesthesiology, Creighton University School of Medicine, Omaha, NE, USA.
Kaye AJ, Viswanath O - Department of Anesthesiology and Perioperative Medicine, Medical University of South Carolina, Charleston, SC, USA.
Shah RJ, Cornett EM, Chami AA, Dixon BM, Alvarado MA, Urits I, Calodney AK - Department of Anesthesiology, LSU Health Shreveport, Shreveport, LA, USA.
Viswanath O - Valley Anesthesiology and Pain Consultants-Envision Physician Services, Phoenix, AZ, USA.
Urits I - Southcoast Health, Southcoast Physicians Group Pain Medicine, Wareham, MA, USA.
Calodney AK - Precision Spine Care, Tyler, TX, USA.