Identifying effective candidates for sacro-iliac joint fusion
Paul Gerdhem, Thomas Kibsgård, Engelke Randers
Abstract
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Taxonomy
TopicsSpine and Intervertebral Disc Pathology · Pelvic and Acetabular Injuries · Hip disorders and treatments
*Sir,–*We thank Daisuke Kurosawa and Bengt Sturesson for their interest in our paper [1]. In their letter we identified 6 comments that need to be answered, and for clarity we have abbreviated and rephrased them below.
To conclude, based on 2 studies, 1 placebo-controlled surgical trial and 1 registry-based study with similar results [4,5], we question the use of SI joint fusion in the treatment of pelvic pain, and urge the medical community to continue to improve both diagnostics and treatment for women and men with disabling pelvic pain.
The reference list from the paper itself. Each links out to its DOI / PubMed record.
- 1Kurosawa D, Sturesson B. Letter to the Editor: Identifying effective candidates for sacro-iliac joint fusion. Acta Orthop 2024; 95: 460. doi: 10.2340/17453674.2024.4130539167063 · doi ↗ · pubmed ↗
- 2Mason L W, Chopra I, Mohanty K. The percutaneous stabilisation of the sacroiliac joint with hollow modular anchorage screws: a prospective outcome study. Eur Spine J 2013: 22: 2325-31. doi: 10.1007/s 00586-013-2825-2.23686478 PMC 3804714 · doi ↗ · pubmed ↗
- 3Rudolf L. MIS fusion of the SI joint: does prior lumbar spinal fusion affect patient outcomes? Open Orthop J 2013; 7: 163-8. doi: 10.2174/1874325001307010163.23730380 PMC 3664440 · doi ↗ · pubmed ↗
- 4Randers E M, Kibsgard T J, Stuge B, Westberg A, Sigmundsson F G, Joelson A, et al. Patient-reported outcomes after minimally invasive sacro-iliac joint surgery: a cohort study based on the Swedish Spine Registry. Acta Orthop 2024; 95: 284-9. doi: 10.2340/17453674.2024.40817.38874434 PMC 11177861 · doi ↗ · pubmed ↗
- 5Randers E M, Gerdhem P, Stuge B, Diarbakerli E, Nordsletten L, Rohrl S M, et al. The effect of minimally invasive sacroiliac joint fusion compared to sham operation: a double-blind randomized placebo-controlled trial. E Clinical Medicine 2024; 68: 102438. doi: 10.1016/j.eclinm.2024.102438.38328752 PMC 10847054 · doi ↗ · pubmed ↗
- 6Sturesson B, Kools D, Pflugmacher R, Gasbarrini A, Prestamburgo D, Dengler J. Six-month outcomes from a randomized controlled trial of minimally invasive SI joint fusion with triangular titanium implants vs conservative management. Eur Spine J 2017; 26: 708-19. doi: 10.1007/s 00586-016-4599-9.27179664 · doi ↗ · pubmed ↗
- 7Whang P, Cher D, Polly D, Frank C, Lockstadt H, Glaser J, et al. Sacroiliac joint fusion using triangular titanium implants vs. non-surgical management: six-month outcomes from a prospective randomized controlled trial. Int J Spine Surg 2015; 9: 6. doi: 10.14444/2006.25785242 PMC 4360612 · doi ↗ · pubmed ↗
- 8Capobianco R, Cher D, Group S S. Safety and effectiveness of minimally invasive sacroiliac joint fusion in women with persistent post-partum posterior pelvic girdle pain: 12-month outcomes from a prospective, multi-center trial. Springerplus 2015; 4: 570. doi: 10.1186/s 40064-015-1359-y.26543705 PMC 4627991 · doi ↗ · pubmed ↗