Once the SI joint is confirmed as the cause of your symptoms, treatment can begin. Some patients respond to physical therapy, chiropractic manipulations, use of oral medications, as well as injection therapy. Intermittent use of a pelvic belt may provide symptomatic relief as well. These treatments are performed repetitively, and frequently symptom improvement using these therapies is temporary. At this point, you and your surgeon may consider other options, including minimally invasive surgery (MIS). MIS fusion of the SI joint may be needed to stabilize the joint and minimize movement for reduction of tissue and nerve irritation.
Minimally Invasive Sacroiliac Joint Fixation With The iFuse Implant System
SI joint disorders are commonly overlooked by doctors, because of a lack of good treatment options. Today, the iFuse Implant System is available for patients that have undergone conservative treatments and/or surgery with limited success. The iFuse Implant System is indicated for sacroiliac joint fusion for conditions including sacroiliac joint disruptions and degenerative sacroiliitis. The procedure typically involves three small titanium implants inserted in a minimally invasive procedure across the SI joint, and is designed to create a durable construct to stabilize the SI joint. The procedure is done through a small incision and takes about an hour.
Both the iFuse implant system and surgical technique are designed to stabilize the joint and provide fixation, while offering the maximum protection to your surrounding tissues and minimizing soft tissue exposure.
- The entire procedure is performed through a small incision (approximately 2-3 cm long), along the side of your buttock.
- During the procedure, fluoroscopy provides your surgeon with live imaging during the procedure to facilitate proper placement of the implants.
- Typically, three implants will be used. These small titanium implants are inserted across the SI joint to stabilize and fuse the joint.
- The procedure takes about an hour.
- You may feel comfortable enough to return home after a single night in the hospital. Your surgeon will make this decision based on your post-surgical status.
- At discharge, your surgeon will arrange follow-up visits to assess your progress, health status (including the status of your incision) and may take additional images of your implant site. Your doctor will advise you when it is appropriate to resume your daily weight bearing activities as your symptoms allow. Return to work will depend on your post-surgical progress and occupation.
- To see this procedure in motion, view the iFuse animation.
If your low back symptoms are SI joint in origin, ask your doctor about medical and minimally invasive surgical (MIS) options and determine what is right for you.
This information is not intended to take the place of a doctor’s advice. Please keep in mind that treatment and outcome results vary among patients. The iFuse Implant System is intended for sacroiliac joint fusion for conditions including sacroiliac joint disruptions and degenerative sacroiliitis. As with all surgical procedures and permanent implants, there are risks and considerations associated with surgery and use of the iFuse Implant. You should discuss these risks and considerations with your physician before deciding if this treatment option is right for you.