Once the SI joint is confirmed as the cause of your 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 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.
Minimally Invasive Sacroiliac Joint Fusion 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 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. SI joint treatment using the patented triangular design of the iFuse Implant™ has produced unparalleled clinical results. More than thirty published, peer-reviewed articles demonstrate safety and effectiveness of the iFuse Implant.1 The iFuse Implant is the only SI joint fusion device with multiple clinical studies demonstrating that treatment improved pain, patient function, and quality of life.2
Both the iFuse implant system and surgical technique are designed to stabilize the joint and provide fusion, while offering the maximum protection to your surrounding tissues and minimizing soft tissue damage.
- 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 heavily loaded SI joint.
- The procedure takes approximately an hour.
- You may feel comfortable enough to return home after a single night in the hospital or even less time. 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 SI joint. 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 non-surgical treatments and minimally invasive surgical (MIS) options to determine what is right for you.
1Polly, D.W. et al., Neurosurgery. 2015.— Dr. Polly is an investigator on a clinical research study sponsored by SI-BONE. He has no financial interest in SI-BONE. Research was funded by SI-BONE, Inc. A list of additional published studies is available at www.si-bone.com/results. 2Duhon, B* et al., Triangular Titanium Implants for Minimally Invasive Sacroiliac Joint Fusion: 2-Year Follow-Up from a Prospective Multicenter Trial. Int J Spine Surg. 2016;10:Article 13. * Paid consultant of and conducts clinical research for SI-BONE Inc.
This information is not intended to take the place of a doctor’s advice. The iFuse Implant System® is intended for sacroiliac fusion for conditions including sacroiliac joint dysfunction that is a direct result of sacroiliac joint disruption and degenerative sacroiliitis. This includes conditions whose symptoms began during pregnancy or in the peripartum period and have persisted postpartum for more than 6 months. There are potential risks associated with the iFuse Implant System. It may not be appropriate for all patients and all patients may not benefit. For information about the risks, click here.