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Minimally invasive sacroiliac joint fusion: one-year outcomes in 18 patients

机译:微创sa关节融合术:18例患者的一年预后

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Background Sacroiliac joint (SI) pain is an often-overlooked cause of low back pain due, in part, to lack of specific findings on radiographs and symptoms mimicking other back-related disorders. We report our experience with minimally invasive (MIS) SI joint arthrodesis using a series of triangular, titanium plasma spray (TPS) coated implants in patients refractory to conservative care. Methods We report outcomes from 18 patients with 12?months of postoperative follow-up. Demographics, complications, and clinical outcomes using visual analog scale (VAS) for pain, Oswestry Disability Index (ODI) for back function and SF-12 for quality of life were collected preoperatively and at 3, 6 and 12?months post-operatively. Results Mean age was 64?years and 67% of patients were female. There were no intraoperative complications and one explant at three months for malposition. All patient-reported outcomes showed both clinically and statistically significant improvement at 12?months (p? Conclusions MIS SI joint fusion using a series of triangular porous TPS coated titanium implants is a safe and effective procedure for patients with SI joint disorders who have failed conservative care.
机译:背景Sa关节(SI)疼痛是经常被忽视的下腰痛的病因,部分原因是放射线照相上缺乏特定的发现以及模仿其他与背部相关疾病的症状。我们报告了我们的经验,即使用微创(MIS)SI关节固定术,该疗法使用了一系列三角形,钛等离子喷涂(TPS)涂层的植入物,治疗的患者难以接受保守治疗。方法我们报告了18例术后12个月的随访结果。术前以及术后3、6和12个月使用视觉模拟量表(VAS)评估疼痛,​​Oswestry残疾指数(ODI)评估背部功能,SF-12评估生活质量,以人口统计学,并发症和临床结局。结果平均年龄为64岁,女性患者为67%。没有术中并发症,三个月时有一个外植体位置不正确。所有患者报告的结局在12个月时均显示出临床和统计学上的显着改善(p?结论)对于保守治疗失败的SI关节疾病患者,使用一系列三角形多孔TPS涂层钛植入物进行MIS SI关节融合是安全有效的方法关心。

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