Article Figures & Data
Tables
- Table 1
Author, Year N Study design Demographics Implantdescription Results Complications Rudolf, 2012 50 Retrospectivecase series Age: 54 years
Sex: 34F/16M
Prior lumbar fusion: 44%
Follow up:40mo (range24-56)iFuse ImplantSystem VAS: 7.6 pre-op,2.0 at f/u
Mean VAS improvement: -4.3 pts
82% reached MCID
82% patientsatisfaction
OR time: 65 ± 26minSuperficial cellulitis: 3
Deep wound infection:1
Hematoma: 2
Reoperation: 3Sachs, 2013 40 Retrospectivecase series Age: 58 years
Sex: 30F/10M
Prior lumbar fusion: 30%
Follow up: 12monthsiFuse ImplantSystem VAS: 8.7 pre-op,0.9 at f/u
Mean VAS improvement:-7.8pts
98% reached MCID
100% patientsatisfactionPiriformis syndrome: 1
New LBP: 1
Facet joint pain: 8
Trochanteric bursitis: 2Cummings,2013 18 Retrospectivecase series Age: 64 years
Sex: 12F/6M
Prior lumbar fusion: 61%
Follow up:12moiFuse ImplantSystem VAS: 9.0 pre-op,2.3 at f/u
90% reached MCID
Mean improvement:
VAS -6.6pts,
ODI -37.5pts,
SF-12PCS 11.2,
SF-12MCS 20.4
94% very orsomewhat satisfiedTrochanteric bursitis: 3
Hematoma: 1
Fluid retention:1
Toe numbness: 1
Implant malposition: 1Gaetani, 2013 12 Retrospectivecase series Age: 53 years
Sex: 12F
Prior lumbar fusion: 1
Follow up:10moiFuse ImplantSystem VAS: 7.7 pre-op,3.0 f/u
ODI: 31.4 pre-op,12.0 f/u
100% patientsatisfaction
3mth CT scans show initial fusion
OR time: 65min
EBL: <45cc2 local hematoma Schroeder, 2013 6 Retrospectivecase series Age: 50 years
Sex: 6F/0M
Prior lumbar fusion: 100% (deformitycorrection)
Follow up:10moiFuse ImplantSystem VAS: 7.8 pre-op,2.7 at f/u
ODI: 44.2 pre-op,21 f/uNone reported Graham-Smith, 2013 114 Retrospectivemulticenter, comparativecohort study Age: 57 years
Sex: 82F/32M
Prior lumbar fusion: 47%
Follow up: 24 moiFuse ImplantSystem VAS: 8.3 pre-op,2.3 at 12mo,
1.7 at 24mo 86% reached MCID at 12mo,
82% at 24mo OR time: 70min
EBL: 33cc
Hospital stay: 1.3days3.5% reoperation due to nerve rootimpingement, facet pain (4), fall (4),piriformis syndrome (2), cellulitis (3),trochanteric bursitis (2) Duhon, 2013 32, 94 Prospective,multi-center Age: 50 years
Sex: 21F/11M
Prior lumbar fusion: 69%
Follow-up: 6monthsiFuse ImplantSystem VAS: 76.2 pre-op,29.3 f/u
ODI: 55.3 pre-op,38.9 f/u
SF-36PCS: 30.7 pre-op, 37 f/u
88.5% success rate
85% somewhat or very satisfied,
OR time: 48min
EBL: 59cc
Hospital stay: 0.8daysNo implant revision or removal, 6 AEsprobably or definitely related to studyprocedure (1 nausea, 2 woundinfections, 1 cellulitis, 1 buttock pain) Sachs, 2014 144 Retrospective,multi-center Age: 58 years
Sex: 30F/10M
Prior lumbar fusion: 62%
Follow-up:16moiFuse ImplantSystem VAS: 8.6 pre-op,2.7 f/u
91% Very orsomewhat satisfied
91.7% would have surgery again
OR time: 73min
EBL: minimal
Hospital stay: 0.8daysImplant revision (1), fall (5),trochanteric bursitis (4), piriformissyndrome (3), facet pain (3) Al-Khayer 2008 9 Retrospectivecase series Age: 42 years
Sex: 9F
Follow-up: 40 moHollow modular anchorage screwpacked withdemineralized bone matrix VAS decreased: 8.1 to 4.6
ODI decreased: 59 to 45
Satisfaction: 6.8 (outof 10)
Blood loss: <50 ml
Hospital stay: 6.9days
Return to work: 4/91 deep wound infection Complication rate: 11% Khurana, 2009 15 Retrospectivecase series Age: 48.7 years
Sex: 11F/4M
Prior lumbar fusion: 40%
Follow-up: 17monthsHollow modular anchorage screwpacked withdemineralized bone matrix SF-36 PF: 37 pre-op, 80 f/u
Majeed's: 37 pre-op,79 f/u
Good to excellent results: 13/15
Blood loss: < 50 ml
Hospital stay: 2.7daysNone reported Mason, 2013 55 Retrospectivecase series Age: 57 years
Sex: 46F/9M
Prior lumbar fusion: 40%
Follow up:36moHollow modular anchorage screwpacked withdemineralized bone matrix VAS: 8.1 pre-op,4.5 f/u
SF-36, PCS: 26.6 pre-op, 43 f/u
Majeed scoring:36.9 pre-op, 64.8 f/u2 cases of post-op nerve pain requiringreoperation Wise, 2008 13 Retrospectivecase series Age: 53 years
Sex: 12F/1M
Prior lumbar fusion: 8/13
Follow-up:29.5mo2 Titanium cages packed with BMP VAS improved by4.9 pts
Leg VAS improvedby 2.4 pts
Blood loss: < 100 ml
Hospital stay: 1.7daysReoperation (nonunion): 1 Complication and Revision rate: 8% McGuire, 2012 37 Retrospectivecase series Age: 42.5 years
Sex: 34F/3M
Follow up:40moFibular allograftdowels Baseline VAS: 9.1
Final VAS: 3.4Nonunion requiring revision: 4 (10.5%) Giannikas, 2004 5 Retrospectivecase series Age: 30.6 years
Sex: 3F/2M
Follow up:29moAutograft iliacbone plugs Complete painrelief: 4/5
Partial pain relief: 1/5
*Patient kept nonweight bearing for atleast 3 monthsNone reported - Table 2
ICD-9 code Description 720.2 Sacroiliitis not elsewhere classified; inflammation of sacroiliac joint NOS 721.3 Lumbosacral spondylosis without myelopathy 724.6 Disorders of sacrum 739.4 Nonallopathic lesions, not elsewhere classified in the sacral region; sacrococcygeal region or sacroiliac region 846.9 Sprains and strains of the sacroiliac region, unspecified site of sacroiliac region 847.3 Sprains and strains of sacrum