Case Studies

A New Dimension in SI Joint Fusion

“In my desire to treat the complete spectrum of spinal disorders, the SI-BONE fusion procedure has proven to be an important part of my small procedure armamentarium.”

Thumb fleming *Consultant for SI-BONE Inc.
Provider
James Fleming Jr., M.D.*
Speciality
Orthopedic Spine Surgeon; Medical Director, Adena Orthopedic & Spine Institute
Facility
Adena Orthopedic & Spine Institute
Bio

Medical School: Case Western Reserve University School of Medicine, Cleveland, Ohio Residency: The Cleveland Clinic Foundation, Cleveland, Ohio
Fellowship: Hospital for Special Surgery, Weil Medical College of Cornell University. Dr. Fleming is a Board-Certified Orthopedic Surgeon focused on the clinical and surgical aspects of spine care.

Logo adena health

Case Details

Condition
SI Joint Dysfunction
Product(s)
iFuse 3D
Patient
51 yo male

Pelvic Girdle Pain1

Patient History:
  • 10-month history of severe right-sided pelvic girdle pain, worsened with sitting on affected side, stairs, or prolonged walking or standing 
  • Failed non-operative treatment after trying for 8 months
  • Physical exam + Fortin test, provocative maneuvers, and greater than 75% relief with 2 diagnostic SI joint injections
  • Lumbar MRI showed multilevel degenerative changes with minimal stenosis
Inline fleming 01 AP View
Inline fleming 01 AP View
Inline fleming 02 Lateral View
Inline fleming 02 Lateral View
Surgical Treatment: 
  • MIS SI joint fusion with iFuse 3DTM
PostOp:
  • Marked relief of pelvic girdle pain
  • Returned to full functional activities at 6-week follow-up
Inline fleming 03 AP and lateral fluorographic views after procedure completion.
Inline fleming 03 AP and lateral fluorographic views after procedure completion.
Inline fleming 04
Inline fleming 04

1Patient results may vary.

Healthcare professionals should refer to the Instructions For Use for indications, contraindications, warnings, and precautions at https://si-bone.com/label.  

There are potential risks associated with iFuse procedures. They may not be appropriate for all patients and all patients may not benefit.
For information about the risks, visit https://si-bone.com/risks

Looking for Answers?

We can help. Tell us what you're looking for below.