Case Studies

Congenital Deformity Revision Spinal Surgery

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“The Bedrock technique has provided me an effective solution to manage my deformity patients with concomitant SI joint pain.”

Robert Eastlack, MD *Consultant for SI-BONE Inc.
Provider
Robert Eastlack, MD*
Speciality
Orthopedic Surgeon
Facility
Mayo Clinic
Bio
Professor and Head, Division of Spine Surgery Co-Director, Spine Surgery Fellowship 
Fellowship: Mayo Clinic, Roche... More
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Case Details

Condition
Spinopelvic Fixation
Patient
63 y/o female

Congenital Deformity Revision Spinal Surgery

Patient History:
  • 63 y/o female with diabetes mellitus
  • Congenital lumbar scoliosis and degenerative spondylolisthesis L4-5
  • Prior surgery for cervical myelopathy
  • Prior T10-pelvis fusion with S2AI screws
  • Prior L4-5 TLIF
  • Loosening of pelvic fixation and broken rod first evident 2 years post operatively
  • Severe back and buttock pain, diminished walking tolerance and spinal deformity
  • Bilateral SI joint pain confirmed with physical exam/diagnostic injections
Inline eastlack 01
Inline eastlack 01
Inline eastlack 02 Index Operation
Inline eastlack 02 Index Operation
Surgical Treatment:
  • Revision lumbo-pelvic fixation with bilateral S2AI screws, kickstand rod on Right
  • Bilateral iFuse 3D implants in the Bedrock® trajectory to supplement spinopelvic fixation and provide permanent SI joint stabilization/ fusion
Inline eastlack 03 Teardrop view
Inline eastlack 03 Teardrop view
Inline eastlack 04 Outlet view
Inline eastlack 04 Outlet view
PostOp:1,2
  • Resolution of lumbosacral and SI joint pain
  • Standing and walking tolerance improved with 5-point VAS improvement (7/10 to 2/10) at 3-month follow-up

1Multilevel deformity constructs have been performed for many years. Reported outcomes reflect entirety of the procedure and cannot be attributed to a single component. This case study represents a single patient’s experience and results may vary.
2Clinical results consistent with early SILVIA (NCT04062630) trial outcomes. SI-BONE data on file.

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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