Trial reportNeurosurgery2015
Randomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion Using Triangular Titanium Implants vs Nonsurgical Management for Sacroiliac Joint Dysfunction: 12-Month Outcomes.
Trial report in Neurosurgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 63 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
INSITE Investigation of Sacroiliac Fusion Treatment
Randomized Controlled Trial Of Minimally Invasive Sacroiliac Joint Fusion Compared To Radiofrequency Ablation For Sacroiliac Joint Dysfunction
Who cites it
63 citing papers in PubMed, 5 syntheses or guidelines pooled it, 138 citations in OpenAlex.
- Consensus practice guidelines on sacroiliac joint complex pain from a multispecialty, international working group.Pain medicine (Malden, Mass.) · 2025Guideline
- Management of sacroiliac joint pain: current concepts.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Minimally invasive lateral, posterior, and posterolateral sacroiliac joint fusion for low back pain: a systematic review and meta-analysis.The Journal of international medical research · 2025Pooled it
- Efficacy of manual therapy for sacroiliac joint pain syndrome: a systematic review and meta-analysis of randomized controlled trials.The Journal of manual & manipulative therapy · 2024Pooled it
- Minimally invasive sacroiliac joint fusion using triangular titanium implants versus nonsurgical management for sacroiliac joint dysfunction: a systematic review and meta-analysis.Canadian journal of surgery. Journal canadien de chirurgiePooled it
- Six-month outcomes from a randomized controlled trial of minimally invasive SI joint fusion with triangular titanium implants vs conservative management.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2017Trial
- Multidisciplinary expert consensus on clinical diagnosis and therapies for low back pain.Bone research · 2026Article
- Safety and Early Clinical Outcomes of Sacroiliac Fusion for Sacral Fractures via a Modified S1 Corridor: An Exploratory Comparison of Triangular and Threaded 3D-Printed Titanium Implants.Medicina (Kaunas, Lithuania) · 2026Article
- Revision sacroiliac joint fusion: mid-term patient-reported outcomes.Journal of spine surgery (Hong Kong) · 2026Article
- Comparing genuine and sham surgery for sacroiliac joint pain using self-assessments, pain testing, and neuroimaging.Pain reports · 2025Article
- Minimally invasive fixation and management of sacral fibrous dysplasia with impending pathological fracture: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- A Retrospective, Multicenter Analysis of a Novel Sacroiliac Joint Fusion Device on Safety and Efficacy at 12 Months: Access Study.Healthcare (Basel, Switzerland) · 2025Article
- Age and fixation strategy as associated factors for sacroiliac joint dysfunction after posterior pelvic ring fixation.Frontiers in surgery · 2025Article
- Clinical outcome measures following lateral versus posterior sacroiliac joint fusion: Systematic review and meta-analysis.Brain & spine · 2025Article
- Efficacy of Lateral Sacroiliac Joint Fusion With the Trident™ Screw System: A Retrospective Analysis.Cureus · 2025Article
- Effect of revision sacroiliac joint fusion on unresolved pain and disability: a retrospective cohort study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Potential S1 Nerve Root Blocks Associated with Sacroiliac Joint Injections.Pain research & management · 2024Article
- Safety, Efficacy, and Durability of Outcomes: Results from SECURE: A Single Arm, Multicenter, Prospective, Clinical Study on a Minimally Invasive Posterior Sacroiliac Fusion Allograft Implant.Journal of pain research · 2024Article
- Biomechanics of sacroiliac joint fixation using lag screws: a cadaveric study.Journal of orthopaedic surgery and research · 2023Article
- Posterior oblique technique for sacroiliac joint fusion leads to greater pain relief and similar improvement in function compared to the lateral technique: A retrospective, comparative study.North American Spine Society journal · 2023Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
11 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSacroiliac joint (SIJ) dysfunction is a prevalent cause of chronic, unremitting lower back pain.
objectiveTo concurrently compare outcomes after surgical and nonsurgical treatment for chronic SIJ dysfunction.
methodsA 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.
resultsSix-month success rates were higher in the surgical group (81.4% vs 26.1%; posterior probability of superiority > 0.9999). Clinically important (≥ 15 point) Oswestry Disability Index improvement at 6 months occurred in 73.3% of the SIJ fusion group vs 13.6% of the nonsurgical management group (P < .001). At 12 months, improvements in SIJ pain and Oswestry Disability Index were sustained in the surgical group. Subjects who crossed over had improvements in pain, disability, and quality of life similar to those in the original surgical group. Adverse events were slightly more common in the surgical group (1.3 vs 1.1 events per subject; P = .31).
conclusionThis Level 1 study showed that minimally invasive SIJ fusion using triangular titanium implants was more effective than nonsurgical management at 1 year in relieving pain, improving function, and improving quality of life in patients with SIJ dysfunction caused by degenerative sacroiliitis or SIJ disruptions. Pain, disability, and quality of life also improved after crossover from nonsurgical to surgical treatment.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.