iFuse: A MIS Treatment Option for Fusion of the SI Joint

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iFuse: A MIS Treatment Option for Fusion of the SI Joint

Once the SI joint is confirmed as the cause of a patient's symptoms, treatment can begin. Some patients respond to physical therapy, 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 patient may consider other options, including minimally invasive surgery.

SI Joint Fusion With The iFuse Implant System®

Lower Back Pain SI Joint Pelvis Image

The iFuse is a minimally invasive surgical option, designed to be less invasive than traditional open surgical SI joint fusion. The iFuse Implant System® is intended for sacroiliac joint fusion for conditions including sacroiliac joint dysfunction that is a direct result of sacroiliac joint disruptions and degenerative sacroiliitis. The procedure typically involves three small titanium implants surgically inserted across the SI joint. It is designed to create a durable construct to fuse and stabilize the SI joint. The procedure is done through a small incision and takes about an hour.

With the iFuse Implant System, there is no need for: BMP in conjunction with autologous bone graft, additional pedicle screws and rods, hollow modular anchorage screws, cannulated compression screws, threaded cages within the joint, or facture fixation screws.

iFuse Potential Benefits:

iFuse Implant Image
  • Less invasive than traditional open SI joint fusion surgery with no extensive soft tissue stripping
    • Plus: minimal incision size (approximately 2-3 cm long) and minimal tendon irritation
  • Straightforward minimally invasive surgical approach
  • Designed for maximum joint stability
    • Triangular implant profile minimizes rotation and an interference fit minimizes micromotion
    • An interference fit between the implant and the adjacent osseous walls
    • Porous titanium plasma spray (TPS) coating allows for biological fixation
    • Designed specifically to stabilize and fuse the heavily loaded SI joint
    • Rigid titanium construction and implant geometry provide immediate stabilization
    • The iFuse implant has 3X shear and bending strength compared with screws1

    Simplified surgical procedure with iFuse

    • Pin, drill, broach, insert implants, and close
    • Procedure takes about an hour
    • Potential for less blood loss and reduced soft tissue stripping

    iFuse Surgical Technique Overview:

    iFuse Surgical Technique Overview

    More iFuse resources:

iFuse Clinical Summary

iFuse has been marketed in the U.S. since November 26, 2008.

Over 12,000 procedures have been performed with the iFuse Implant System.

SI-BONE is sponsoring two prospective clinical trials of iFuse for sacroiliac joint disruptions and degenerative sacroiliitis, and multiple published studies have documented procedure safety and effectiveness.

The iFuse Implant System® is intended for sacroiliac joint fusion for conditions including sacroiliac joint dysfunction that is a direct result of 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. Please review the iFuse Instructions For Use for a complete discussion of contraindications, warnings, precautions, and risks.

References:
1Shear & Bending Strength Comparison: Mauldin RG. Strength of Materials of the SI-BONE iFuse Implant vs. 8.0 mm Cannulated Screw. Dec 2009.

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