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Systematic Review on Minimally Invasive Posterior Sacroiliac Joint Fusion.

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Title: Systematic Review on Minimally Invasive Posterior Sacroiliac Joint Fusion.
Authors: Gill, Benjamin, Ramawad, Hamzah Adel, Buchanan, Patrick, Toloui, Amirmohammad, Deer, Timothy, Padilla, Aileen, George, Tony, Patterson, Denis, Bovinet, Chris, Paicius, Rick, Sayed, Dawood, Lee, David W.
Source: Pain Practice. Jul2025, Vol. 25 Issue 6, p1-12. 12p.
Subjects: Medical information storage & retrieval systems, Pain measurement, Minimally invasive procedures, Treatment effectiveness, Functional status, Systematic reviews, MEDLINE, Surgical complications, Spinal fusion, Medical databases, Reoperation, Online information services, Sacroiliac joint diseases, Lumbar pain
Abstract: Background: Sacroiliac joint dysfunction contributes to a significant proportion of lower back and leg pain and associated functional deficiencies. Following failure of conservative methods, lateral fusion approaches have previously provided the mainstay for surgical stabilization of the joint. In recent years there are multiple devices available for sacroiliac fusion via posterior or posterolateral oblique approaches, thereby reducing neurovascular complications of the lateral approach. Objectives: To provide a comprehensive review of the evidence for pain and functional outcomes in patients treated with posterior or posterolateral oblique sacroiliac joint fusion devices. Methods: The primary outcome was improvement in pain following posterior or posterolateral oblique sacroiliac joint fusion in publications between 2020 and 2024, with the authors' previous review conducted up to 2020. Three authors assessed studies identified from multiple databases (PubMed, SCOPUS, Embase, MEDLINE, Cochrane, and Google Scholar). Results: Out of 740 initial publications, 12 studies fulfilled inclusion criteria. These peer‐reviewed articles included two prospective and 10 retrospective observational studies, with two studies providing direct comparisons to lateral fusion approaches. Overall average improvement of VAS/NRS pain scores at final follow‐up for intra‐articular fusion via posterior approach and posterolateral oblique fusion ranged 35%–75% and 28%–89%, respectively. Cohort outcomes were nearly all statistically significant. Complications were minimal and typically resolved with revision fusion. The heterogeneity of studies prohibited proper meta‐analysis. Conclusion: There is increasing evidence for the effectiveness and safety of posterior and posterolateral oblique sacroiliac joint fusion. Future randomized, controlled trials are needed to guide specific device and approach selection, and elucidation of patient long‐term outcomes. [ABSTRACT FROM AUTHOR]
Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Systematic Review on Minimally Invasive Posterior Sacroiliac Joint Fusion.
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  Data: <searchLink fieldCode="AR" term="%22Gill%2C+Benjamin%22">Gill, Benjamin</searchLink><br /><searchLink fieldCode="AR" term="%22Ramawad%2C+Hamzah+Adel%22">Ramawad, Hamzah Adel</searchLink><br /><searchLink fieldCode="AR" term="%22Buchanan%2C+Patrick%22">Buchanan, Patrick</searchLink><br /><searchLink fieldCode="AR" term="%22Toloui%2C+Amirmohammad%22">Toloui, Amirmohammad</searchLink><br /><searchLink fieldCode="AR" term="%22Deer%2C+Timothy%22">Deer, Timothy</searchLink><br /><searchLink fieldCode="AR" term="%22Padilla%2C+Aileen%22">Padilla, Aileen</searchLink><br /><searchLink fieldCode="AR" term="%22George%2C+Tony%22">George, Tony</searchLink><br /><searchLink fieldCode="AR" term="%22Patterson%2C+Denis%22">Patterson, Denis</searchLink><br /><searchLink fieldCode="AR" term="%22Bovinet%2C+Chris%22">Bovinet, Chris</searchLink><br /><searchLink fieldCode="AR" term="%22Paicius%2C+Rick%22">Paicius, Rick</searchLink><br /><searchLink fieldCode="AR" term="%22Sayed%2C+Dawood%22">Sayed, Dawood</searchLink><br /><searchLink fieldCode="AR" term="%22Lee%2C+David+W%2E%22">Lee, David W.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Pain+Practice%22">Pain Practice</searchLink>. Jul2025, Vol. 25 Issue 6, p1-12. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+measurement%22">Pain measurement</searchLink><br /><searchLink fieldCode="DE" term="%22Minimally+invasive+procedures%22">Minimally invasive procedures</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Functional+status%22">Functional status</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Surgical+complications%22">Surgical complications</searchLink><br /><searchLink fieldCode="DE" term="%22Spinal+fusion%22">Spinal fusion</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+databases%22">Medical databases</searchLink><br /><searchLink fieldCode="DE" term="%22Reoperation%22">Reoperation</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Sacroiliac+joint+diseases%22">Sacroiliac joint diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Lumbar+pain%22">Lumbar pain</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: Sacroiliac joint dysfunction contributes to a significant proportion of lower back and leg pain and associated functional deficiencies. Following failure of conservative methods, lateral fusion approaches have previously provided the mainstay for surgical stabilization of the joint. In recent years there are multiple devices available for sacroiliac fusion via posterior or posterolateral oblique approaches, thereby reducing neurovascular complications of the lateral approach. Objectives: To provide a comprehensive review of the evidence for pain and functional outcomes in patients treated with posterior or posterolateral oblique sacroiliac joint fusion devices. Methods: The primary outcome was improvement in pain following posterior or posterolateral oblique sacroiliac joint fusion in publications between 2020 and 2024, with the authors' previous review conducted up to 2020. Three authors assessed studies identified from multiple databases (PubMed, SCOPUS, Embase, MEDLINE, Cochrane, and Google Scholar). Results: Out of 740 initial publications, 12 studies fulfilled inclusion criteria. These peer‐reviewed articles included two prospective and 10 retrospective observational studies, with two studies providing direct comparisons to lateral fusion approaches. Overall average improvement of VAS/NRS pain scores at final follow‐up for intra‐articular fusion via posterior approach and posterolateral oblique fusion ranged 35%–75% and 28%–89%, respectively. Cohort outcomes were nearly all statistically significant. Complications were minimal and typically resolved with revision fusion. The heterogeneity of studies prohibited proper meta‐analysis. Conclusion: There is increasing evidence for the effectiveness and safety of posterior and posterolateral oblique sacroiliac joint fusion. Future randomized, controlled trials are needed to guide specific device and approach selection, and elucidation of patient long‐term outcomes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1111/papr.70059
    Languages:
      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 1
    Subjects:
      – SubjectFull: Medical information storage & retrieval systems
        Type: general
      – SubjectFull: Pain measurement
        Type: general
      – SubjectFull: Minimally invasive procedures
        Type: general
      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Functional status
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      – SubjectFull: Systematic reviews
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      – SubjectFull: MEDLINE
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      – SubjectFull: Surgical complications
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      – SubjectFull: Spinal fusion
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      – SubjectFull: Medical databases
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      – SubjectFull: Sacroiliac joint diseases
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              Text: Jul2025
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