Evidence map›Paper›PMID 27652199›Full record

ArticleInternational journal of spine surgery2016

Two-Year Outcomes from a Randomized Controlled Trial of Minimally Invasive Sacroiliac Joint Fusion vs. Non-Surgical Management for Sacroiliac Joint Dysfunction.

David W Polly, John Swofford, Peter G Whang, Clay J Frank, John A Glaser, Robert P Limoni, Daniel J Cher, Kathryn D Wine, Jonathan N Sembrano, INSITE Study Group

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in International journal of spine surgery, 2016. 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 98 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 5 pooled it
13.8field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT01681004 nacompletednot on this map

INSITE Investigation of Sacroiliac Fusion Treatment

TypeinterventionalSponsorSI-BONE, Inc.Ran2012 to 2017Enrolled159ConditionsDegenerative Sacroiliitis, Sacroiliac Joint DisruptionArmsiFuse Implant System, Non-surgical management
NCT05404984 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Effects of Core Stabilization Exercises With and Without Dry Cupping on Pain and Disability in Patients With Sacroiliac Joint Dysfunction

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2023Enrolled24ConditionsSacroiliac Joint DysfunctionArmsDry cupping with core stabilization exercises, Core stabilization exercises
3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 5 syntheses or guidelines pooled it, 207 citations in OpenAlex.

  1. Guideline
  2. Management of sacroiliac joint pain: current concepts.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Pooled it
  3. Pooled it
  4. Interventional treatments for low back pain due to sacroiliac joint dysfunction: a systematic review of the literature.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 · 2024
    Pooled it
  5. Pooled it
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  8. Trial
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  12. Radiographic signs of implant loosening in sacroiliac joint fusion: an 11-year 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 · 2026
    Article
  13. Article
  14. Article
  15. "Successful minimally invasive sacroiliac joint fusion in patients presenting with concomitant sacroiliac joint dysfunction and joint auto fusion".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 · 2026
    Article
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  17. Review
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38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

David W PollyDepartments of Orthopedic Surgery and Neurosurgery, University of Minnesota, Minneapolis, MN.
John SwoffordIndiana Interventional Pain, Indiana Surgery Center East, Indianapolis, IN.
Peter G WhangDepartment of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven CT.
Clay J FrankIntegrated Spine Care, Wauwatosa, WI.
John A GlaserMedical University of South Carolina, Charleston, SC.
Robert P LimoniAurora BayCare Orthopedic & Sports Medicine Center, Green Bay, WI.
Daniel J CherSI-BONE, Inc., San Jose, CA.
Kathryn D WineSI-BONE, Inc., San Jose, CA.
Jonathan N SembranoDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN.
INSITE Study Group
SI-Bone (United States) · USUniversity of Minnesota · USAurora BayCare Medical Center · USIndiana Hand to Shoulder Center · USMedical University of South Carolina · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSacroiliac joint (SIJ) dysfunction is an important and underappreciated cause of chronic low back pain.

objectiveTo prospectively and concurrently compare outcomes after surgical and non-surgical treatment for chronic SIJ dysfunction.

methodsOne hundred and forty-eight subjects with SIJ dysfunction were randomly assigned to minimally invasive SIJ fusion with triangular titanium implants (SIJF, n = 102) or non-surgical management (NSM, n = 46). SIJ pain (measured with a 100-point visual analog scale, VAS), disability (measured with Oswestry Disability Index, ODI) and quality of life scores were collected at baseline and at scheduled visits to 24 months. Crossover from non-surgical to surgical care was allowed after the 6-month study visit was complete. Improvements in continuous measures were compared using repeated measures analysis of variance. The proportions of subjects with clinical improvement (SIJ pain improvement ≥20 points, ODI ≥15 points) and substantial clinical benefit (SIJ pain improvement ≥25 points or SIJ pain rating ≤35, ODI ≥18.8 points) were compared.

resultsIn the SIJF group, mean SIJ pain improved rapidly and was sustained (mean improvement of 55.4 points) at month 24. The 6-month mean change in the NSM group (12.2 points) was substantially smaller than that in the SIJF group (by 38.3 points, p<.0001 for superiority). By month 24, 83.1% and 82.0% received either clinical improvement or substantial clinical benefit in VAS SIJ pain score. Similarly, 68.2% and 65.9% had received clinical improvement or substantial clinical benefit in ODI score at month 24. In the NSM group, these proportions were <10% with non-surgical treatment only. Parallel changes were seen for EQ-5D and SF-36, with larger changes in the surgery group at 6 months compared to NSM. The rate of adverse events related to SIJF was low and only 3 subjects assigned to SIJF underwent revision surgery within the 24-month follow-up period.

conclusionsIn this Level 1 multicenter prospective randomized controlled trial, minimally invasive SIJF with triangular titanium implants provided larger improvements in pain, disability and quality of life compared to NSM. Improvements after SIJF persisted to 24 months. This study was approved by a local or central IRB before any subjects were enrolled. All patients provided study-specific informed consent prior to participation.

Indexed as

minimally invasive surgeryrandomized clinical trialsacroiliac joint dysfunctionsacroiliac joint fusion

Identifiers

PMID27652199
PMCPMC5027818
OpenAlexW2517702588

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.