Case Studies

A New Dimension in SI Joint Fusion 2

“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.

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Case Details

Condition
SI Joint Dysfunction
Product(s)
iFuse 3D
Patient
56 yo female

Sacroiliac dysfunction secondary to chronic degeneration, history of multilevel lumbar fusion1

Patient History:
  • Complained of severe right-sided pelvic girdle pain
  • Bracing, medications, PT and RF ablation did not help
  • Multiple failed fusion procedures elsewhere including spinal cord stimulation placement
  • Classic physical exam findings suggested SI joint  dysfunction
  • Diagnostic SI joint injections were “life changing” for 24 hour
Inline fleming 05 AP lumbar radiograph with instrumented multilevel lumbar fusion.
Inline fleming 05 AP lumbar radiograph with instrumented multilevel lumbar fusion.
Surgical Treatment: 
  • MIS SI joint fusion with iFuse 3DTM
PostOp: 
  • Marked pain symptom improvement
  • Returned to full functional activities at 6-week follow-up
Inline fleming 06 AP fluorographic view after procedure completion using SI-BONE fixation.
Inline fleming 06 AP fluorographic view after procedure completion using SI-BONE fixation.

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

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