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Research ArticleOther and Special Categories

Patient-Reported and Radiographic Outcomes After Revision Sacroiliac Joint Fusion

Jeremy C. Thompson, Erick Marigi and William W. Cross
International Journal of Spine Surgery February 2023, 8421; DOI: https://doi.org/10.14444/8421
Jeremy C. Thompson
1 Department of Orthopedic Surgery, Mayo Clinic, Rochester, USA
MD
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  • For correspondence: thompson.jeremyc@gmail.com
Erick Marigi
1 Department of Orthopedic Surgery, Mayo Clinic, Rochester, USA
MD
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William W. Cross III
1 Department of Orthopedic Surgery, Mayo Clinic, Rochester, USA
MD
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Article Figures & Data

Figures

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  • Figure 1
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    Figure 1

    Loosening of sacroiliac joint instrumentation with gross halo and no evidence of bridging bone through the sacroiliac joint.

  • Figure 3
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    Figure 3

    Sacroiliac joint (SIJ) fusion with author’s described technique (left SIJ). Right SIJ shows pseudarthrosis without instrumentation failure.

  • Figure 2
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    Figure 2

    Pseudarthrosis without bridging bone through the sacroiliac joint without instrumentation loosening.

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    Figure 4

    Numeric Pain Rating Scale scores; P < 0.001. Abbreviation: Preop, preoperative.

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    Figure 5

    Oswestry Disability Index scores; P < 0.001. Abbreviation: Preop, preoperative.

  • Figure 6
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    Figure 6

    Sacroiliac joint fusion with definitive bridging bone through the sacroiliac joint.

Tables

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    Table 1

    Patient demographics.

    Demographic N = 13
    Sacroiliac fusions, n 18
     Bilateral5
    Age, y, mean (SD)55.8 (35–78)
    Body mass index, mean (SD)27.9 (21.7–36.7)
    Sex, n (%)
     Men5 (38%)
     Women8 (62%)
    Prior spine surgery, n/N (%)7/13 (54%)
    Lumbar fusion, n/N (%)6/7 (86%)
    Lumbar decompression, n/N (%)1/7 (14%)
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    Table 2

    Indications for revision surgery.

    Indication, n (%) N = 18
    Pseudarthrosis without fixation failure14 (77.8%)
    Fixation failure3 (16.7%)
    Partial fusion1 (5.6%)
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    Table 3

    CT fusion grade.

    GradeDefinition N (%)
    1Absent bridging bone/fusion mass0 (0%)
    2Bone growth present without definitive bridging1 (5.6%)
    3Definitive bridging bone across sacroiliac joint1 (88.9%)
    NA-1 (5.6%)
    • Abbreviations: CT, computed tomography; NA, not available.

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International Journal of Spine Surgery: 19 (S2)
International Journal of Spine Surgery
Vol. 19, Issue S2
1 Apr 2025
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Patient-Reported and Radiographic Outcomes After Revision Sacroiliac Joint Fusion
Jeremy C. Thompson, Erick Marigi, William W. Cross
International Journal of Spine Surgery Feb 2023, 8421; DOI: 10.14444/8421

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Patient-Reported and Radiographic Outcomes After Revision Sacroiliac Joint Fusion
Jeremy C. Thompson, Erick Marigi, William W. Cross
International Journal of Spine Surgery Feb 2023, 8421; DOI: 10.14444/8421
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More in this TOC Section

  • Posttraumatic Spinal Cord Tethering and Syringomyelia: A Retrospective Investigation of Patients With Progressive Disease and Surgical Revisions
  • Prone Position for Preoperative Planning in Lumbar Endoscopic and Minimally Invasive Fusion Procedures: Insights From a Magnetic Resonance Imaging Study
  • Patient Satisfaction Following Lumbar Fusion Is Associated With Functional Status and Pain More Than the Attainment of Minimal Clinically Important Difference: Implications for Value-Based Medicine
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Keywords

  • sacroiliac joint
  • SI joint
  • SIJF
  • sacroiliac joint dysfunction
  • sacroiliac joint fusion
  • back pain
  • decortication
  • compression
  • internal fixation
  • revision

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