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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 October 2018, 12 (5) 587-594; 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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    Figure 1

    (Left) Anterior view of a destabilized specimen with cut pubic symphysis (arrow). (Right) Posterior view of a destabilized specimen with cut posterior sacroiliac joint capsule and ligaments (arrows). Used with permission from Barrow Neurological Institute, Phoenix, Arizona.

  • Figure 2
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    Figure 2

    (Left) Radiographic image and (right) photograph of cadaveric specimen implanted with a sacroiliac joint implant comprising a lag screw, an antirotation screw, and a large adjustable washer. Used with permission from Barrow Neurological Institute, Phoenix, Arizona.

  • Figure 3
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    Figure 3

    Biomechanical flexibility testing setup. Anterior view of a potted specimen in the test frame under load. For simulation of single-stance loading, the resin block attached to the acetabulum on the right side was clamped in a vise rigidly attached to the bottom of the test frame. The resin block attached to the acetabulum on the left side was left to hang freely. Desired directional loads within anatomic planes were induced by reorientation of the cranially attached cable and pulleys. Used with permission from Barrow Neurological Institute, Phoenix, Arizona.

  • Figure 4
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    Figure 4

    Mean angular range of motion observed at the sacroiliac (SI) joint during all test conditions. Error bars indicate standard deviations. Used with permission from Barrow Neurological Institute, Phoenix, Arizona.

  • Figure 5
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    Figure 5

    Mean angular range of motion observed at the sacroiliac (SI) joint from a previously published study by Lindsey et al23 compared to the same type of data from the current study. Error bars indicate standard deviations. Used with permission from Barrow Neurological Institute, Phoenix, Arizona.

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International Journal of Spine Surgery
Vol. 12, Issue 5
1 Oct 2018
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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 Oct 2018, 12 (5) 587-594; 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 Oct 2018, 12 (5) 587-594; DOI: 10.14444/5072
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  • International Society for the Advancement of Spine Surgery Policy 2020 Update--Minimally Invasive Surgical Sacroiliac Joint Fusion (for Chronic Sacroiliac Joint Pain): Coverage Indications, Limitations, and Medical Necessity
  • Biomechanics of the Sacroiliac Joint: Surgical Treatments
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Keywords

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

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