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Research ArticleBiomechanics

In Vitro Biomechanical Evaluation of a Novel, Minimally Invasive, Sacroiliac Joint Fixation Device

William W. Cross, Sigurd H. Berven, Nick Slater, Jennifer N. Lehrman, Anna G. U. S. Newcomb and Brian P. Kelly
International Journal of Spine Surgery September 2018, 5072; DOI: https://doi.org/10.14444/5072
William W. Cross III
1Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota
MD
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Sigurd H. Berven
2Department of Orthopedic Surgery, University of California at San Francisco, San Francisco, California
MD
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Nick Slater
3CoorsTek Medica, Chandler, Arizona
MS
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Jennifer N. Lehrman
4Spinal Biomechanics Laboratory, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona
MS
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Anna G. U. S. Newcomb
4Spinal Biomechanics Laboratory, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona
MS
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Brian P. Kelly
4Spinal Biomechanics Laboratory, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona
PHD
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ABSTRACT

Background Sacroiliac (SI) joint pathology may result in low-back pain, which causes substantial disability. Treatment failure with operative management of SI pain may be related to incomplete fusion of the joint and to fixation failure. The objective of this study was to evaluate the initial biomechanical stability of SI joint fixation with a novel implantable device in an in vitro human cadaveric model.

Methods The right and left sides of 3 cadaveric L4-pelvis specimens were tested (1) intact, (2) destabilized, and (3) instrumented with an implantable SI joint fixation device using a simulated single-stance load condition. Right-leg and left-leg stance data were grouped together for a sample size of 6, and angular range of motion (ROM) was determined during application of flexion-extension, lateral bending, and axial rotation bending moments to a limit of 7.5 Nm.

Results Following intact testing, destabilization by severing the posterior SI joint capsule and ligaments and the pubic symphysis reliably produced a significantly destabilized joint with the mean angular ROM more than doubling in flexion-extension and lateral bending and more than tripling in axial rotation (P ≤ .003) compared to the intact condition. Instrumentation with the SI screw fixation device significantly reduced mean joint ROM compared to the destabilized condition in all 3 anatomic planes tested (P < .001). When compared to the intact condition, the SI-instrumented condition significantly reduced lateral bending (P = .01) and had a similar ROM in flexion-extension (P = .14) and axial rotation (P = .85).

Conclusions Instrumentation with the SI screw fixation device significantly reduced mean joint ROM compared to the destabilized condition, with similar ROM in flexion-extension and axial rotation, and it significantly reduced ROM in lateral bending compared to that for the intact joint. The ROM values observed with the instrumented condition were comparable to levels of mobility considered favorable for spinal fusion.

  • biomechanics
  • fusion
  • lag screw
  • range of motion
  • sacroiliac joint
  • single-leg stance
  • stability

Footnotes

  • Disclosures and COI: Nick Slater is an employee of CoorsTek Medical, LLC. Dr Sigurd Berven receives royalties from Stryker Corp and Medtronic, plc; is a consultant with Stryker Corp, Medtronic, plc, Globus Medical, Inc, RTI Surgical, Inc, and CoorsTek Medical, LLC; and has stock ownership in Providence Medical Technology and Simpirica Spine, Inc. This study was funded by a research grant from CoorsTek Medical, LLC.

  • ©International Society for the Advancement of Spine Surgery
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International Journal of Spine Surgery
Vol. 19, Issue 3
1 Jun 2025
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In Vitro Biomechanical Evaluation of a Novel, Minimally Invasive, Sacroiliac Joint Fixation Device
William W. Cross, Sigurd H. Berven, Nick Slater, Jennifer N. Lehrman, Anna G. U. S. Newcomb, Brian P. Kelly
International Journal of Spine Surgery Sep 2018, 5072; DOI: 10.14444/5072

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In Vitro Biomechanical Evaluation of a Novel, Minimally Invasive, Sacroiliac Joint Fixation Device
William W. Cross, Sigurd H. Berven, Nick Slater, Jennifer N. Lehrman, Anna G. U. S. Newcomb, Brian P. Kelly
International Journal of Spine Surgery Sep 2018, 5072; DOI: 10.14444/5072
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Keywords

  • Biomechanics
  • fusion
  • lag screw
  • range of motion
  • sacroiliac joint
  • single-leg stance
  • stability

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