Minimally invasive arthrodesis of the sacroiliac joint (SIJ)

Oper Orthop Traumatol. 2021 Oct 18. doi: 10.1007/s00064-021-00738-3. Online ahead of print.ABSTRACTOBJECTIVE: Pain reduction and improvement in quality of life with sacroiliac joint (SIJ) fusion.INDICATIONS: Chronic SIJ-associated pain; positive response to SIJ injection with local anesthetic; positive SIJ provocation tests; failed conservative therapy over 6 months.CONTRAINDICATIONS: Non-SIJ-associated pain; tumor/infection/unstable fracture in the implantation area; malformations; tumor or osteolysis of the sacrum or ilium bone; active infection at the implantation site; allergy to metal components; secondary gain from illness, request for a pension; inadequately treated osteoporosis.SURGICAL TECHNIQUE: Transarticular placement of Kirschner's wires through the SI joint via minimally invasive lateral approach. Guided preparation of implant site over Kirschner's wires and implantation of 3 triangular, transarticular titanium implants for SIJ fusion.POSTOPERATIVE MANAGEMENT: Deep vein thrombosis prophylaxis. 3 weeks partial weight-bearing and then moving on to full weight-bearing. X‑ray controls at defined intervals. Physiotherapy.RESULTS: We enrolled 26 patients who were followed up over the period of 4 years. The evaluated endpoints were low back pain on the visual analog scale (VAS 0-10), grade of disability with the Oswestry Disability Index (ODI) and quality of life with the EuroQOL-5D. At 4 years, mean low back pain improved compared to preoperative (VAS preoperative 8...
Source: Operative Orthopadie und Traumatologie - Category: Orthopaedics Authors: Source Type: research

Related Links:

' Thus far, it does not look like there's a great degree of severity to it,'Anthony Fauci, MD, director of the National Institute of Allergy and Infectious Diseases, told CNN's State of the Union.WebMD Health News
Source: Medscape Med Students Headlines - Category: Universities & Medical Training Tags: Infectious Diseases News Source Type: news
I'm currently in fellowship and trying to find my first job as an attending. Have several offers, but I think I've narrowed it down to two *relatively* big-name academic places. Program A just offered me a job, but at about 50k less than program B. I think I want the job at A more, mostly for location, but that's a pretty big hit. I want to try and negotiate with them, and attempt to leverage my offer at B, but have no idea how to do this. I guess my questions are: 1) Is it possible to... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
Hi everyone! Just as the title says, if you don’t end up matching at a pain fellowship that has exposure to or teaches you to perform advanced procedures, such as MILD, ISS, BVN ablation, Interspinous fusion, etc, how do you go about learning and getting enough personal practice to add these procedures to your clinical practice?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
GGoats!! - An aMAAAAAHzing WW thread ERMAGERD GERTS As we have al already established, goats are amazing creatures and clearly the best in the animal kingdom. Unfortunately, there are some villains out there who do not like goats. *cue dramatic gasp* Anyway, curse the non believers and all that jazz. May the most goatiest goats... forums.studentdoctor.net I imagine this is probably not the forum for this, but thought some might enjoy discovering this. For some reason, SDN recommended this thread for me and I clicked expecting G.O.A.T. for something...
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
More News: Allergy | Allergy & Immunology | Anesthesia | Anesthesiology | Back Pain | Chronic Pain | Disability | Low Back Pain | Orthopaedics | Osteoporosis | Pain | Pain Management | Pensions | Physiotherapy | Radiography | Thrombosis