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Increased Risk of Lumbar Fusion Following Sacroiliac Joint Fusion in Patients With Lumbar Degenerative Disease: A Nationwide Cohort Analysis.


ABSTRACT: Study DesignRetrospective Cohort Study.ObjectivesTo evaluate the risk of subsequent lumbar fusion following sacroiliac (SI) joint fusion in patients with lumbar degenerative disease (LDD) and identify associated risk factors.MethodsPatients with undergoing SI joint fusion with concurrent diagnosis of LDD between 2010-2022 were identified in the PearlDiver Mariner Database. Those with prior lumbar fusion were excluded. A 1:10 propensity-matched control group of LDD patients without SI joint fusion was created. Logistic regression assessed the odds of subsequent lumbar fusion. Risk factors were analyzed using multivariable regression. Kaplan-Meier analysis evaluated time to lumbar fusion over 5 years.ResultsAmong 22 957 patients with LDD undergoing SI joint fusion, 4.5% required subsequent l

SUBMITTER: Karakash WJ 

PROVIDER: S-EPMC12259601 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature