Minimally Invasive Sacroiliac Joint Fusion Using Triangular Titanium versus Cylindrical Threaded Implants: A Comparison of Patient-Reported Outcomes
| Autor: | Ascher Kaufmann, Matthew Bahoura, Chad F Claus, Evan Lytle, Clifford Houseman, Boyd Richards, Lucas Garmo, Doris Tong, Teck M Soo |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual analogue scale Arthrodesis medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Quality of life Refractory medicine Humans Minimally Invasive Surgical Procedures Patient Reported Outcome Measures Aged Retrospective Studies Aged 80 and over Titanium Sacroiliac joint business.industry Sacroiliac Joint Prostheses and Implants Perioperative Middle Aged Confidence interval Surgery Oswestry Disability Index Spinal Fusion Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis Female Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | World Neurosurgery. 133:e745-e750 |
| ISSN: | 1878-8750 |
| Popis: | Minimally invasive fusion of the sacroiliac (SI) joint has gained popularity for the treatment of refractory dysfunction. The purpose of this study was to compare the clinical outcomes of minimally invasive SI joint fusion between cylindrical threaded implants (CTIs) and triangular dowel implants (TDIs).We retrospectively reviewed consecutive patients who underwent SI joint fusions with either CTIs or TDIs. Data collected included patient demographics, perioperative data, and all patient-reported outcomes (PROs) including postoperative visual analog scale (VAS), Oswestry Disability Index, and Short Form-12 at 6 months and 1 year. The change from baseline PROs between the cohorts was analyzed as the primary outcome. Secondary outcomes included revision rates and time to revision between the two cohorts. A P value0.05 was considered significant.One hundred fifty-six consecutive patients underwent SI joint fusion, 74 patients with CTIs and 82 with TDIs. There was a significant difference in procedure length with CTI averaging 60.0 minutes (confidence interval: 55.7-64.3) and TDI averaging 41.2 minutes (confidence interval: 38.4-43.9, P0.0005). In both cohorts, there was a significant improvement in all PROs at 6 months when compared with preoperative values. However, when compared, there was no significant difference between the cohorts at 6-month follow-up or 1-year follow-up for either VAS-back, VAS-leg, Oswestry Disability Index, or Short Form-12. A 6.1% revision rate in the CTI cohort was observed compared with a 2.4% revision rate in the TDI cohort (P = 0.11).SI joint fusions with TDI or CTI offer a significant improvement in pain, disability, and quality of life. However, no difference was observed between devices to suggest superior clinical outcomes. Increased revision rates in the Rialto group warrants further investigation. |
| Databáze: | OpenAIRE |
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