Randomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion Using Triangular Titanium Implants vs Nonsurgical Management for Sacroiliac Joint Dysfunction: 12-Month Outcomes.

ABSTRACT:

Background

Sacroiliac joint (SIJ) dysfunction is a prevalent cause of chronic, unremitting lower back pain.

Objective

To concurrently compare outcomes after surgical and nonsurgical treatment for chronic SIJ dysfunction.

Methods

A total of 148 subjects with SIJ dysfunction were randomly assigned to minimally invasive SIJ fusion with triangular titanium implants (n = 102) or nonsurgical management (n = 46). Pain, disability, and quality-of-life scores were collected at baseline and at 1, 3, 6, and 12 months. Success rates were compared using Bayesian methods. Crossover from nonsurgical to surgical care was allowed after the 6-month study visit was complete.

Results

Six-month success rates were higher in the surgical group (81.4% vs 26.1%; posterior probability o

SUBMITTER: Polly DW 

PROVIDER: S-EPMC4605280 | biostudies-literature | 2015 Nov

REPOSITORIES: biostudies-literature