Evidence map›Paper›PMID 32607011›Full record

Trial reportMedical devices (Auckland, N.Z.)2020

Prospective Trial of Sacroiliac Joint Fusion Using 3D-Printed Triangular Titanium Implants.

Vikas Patel, Don Kovalsky, S Craig Meyer, Abhineet Chowdhary, Harry Lockstadt, Fernando Techy, Casey Langel, Robert Limoni, Philip S Yuan, Andy Kranenburg and 3 more

Open access · goldAbstract readCase ReportsClinical Trial
In one paragraph

Trial report in Medical devices (Auckland, N.Z.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Applications of nanotechnology in 3D printed tissue engineering scaffolds.European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V · 2021
    Review
  13. Article
  14. Article
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

13 authors at 11 institutions in 1 country.

Vikas PatelDepartment of Orthopedics, University of Colorado, Aurora, CO, USA.ORCID 0000-0002-5464-590X
Don KovalskyOrthopaedic Center of Southern Illinois, Mt. Vernon, IL, USA.ORCID 0000-0001-6357-3066
S Craig MeyerColumbia Orthopaedic Medical Group, Columbia, MO, USA.
Abhineet ChowdharyOverlake Medical Center, Bellevue, WA, USA.
Harry LockstadtBluegrass Orthopaedics, Lexington, KY, USA.
Fernando TechyClinTech Center for Spine Health, Johnstown, CO, USA.
Casey LangelThe B.A.C.K. Center, Melbourne, FL, USA.
Robert LimoniBayCare Clinic Orthopedics & Sports Medicine, Green Bay, WI, USA.
Philip S YuanMemorial Orthopaedic Surgical Group, Long Beach, CA, USA.
Andy KranenburgSouth Oregon Orthopedics, Medford, OR, USA.
Daniel CherSI-BONE, Inc., Santa Clara, CA, USA.ORCID 0000-0002-3747-7879
Gabriel TenderDepartment of Neurosurgery, Louisiana State University, New Orleans, LA, USA.
Travis J HillenDepartment of Musculoskeletal Radiology, Washington University St. Louis, St. Louis, MO.ORCID 0000-0002-2259-2057
Aurora BayCare Medical Center · USBluegrass Care Navigators · USColumbia Orthopaedic Group · USLouisiana State University · USMedford Radiology Group · USMemorial Orthopaedic Surgical Group · USOrthopaedic Center · USOverlake Hospital Medical Center · USSI-Bone (United States) · USUniversity of Colorado Anschutz Medical Campus · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrior trials provide strong evidence supporting minimally invasive sacroiliac joint (SIJ) fusion using triangular titanium implants (TTI) for chronic SIJ dysfunction.

objectiveTo assess the safety and effectiveness of SIJF using a 3D-printed TTI.

methodsFifty-one subjects with carefully diagnosed SIJ dysfunction underwent SIJF with 3D TTI. Subjects completed pain, disability and quality of life questionnaires at baseline and 3, 6 and 12 months postoperatively. Functional tests were performed in the clinic at each visit. Pelvic CT scans were independently evaluated for radiolucency, bridging bone and other endpoints.

resultsNinety percent had 12-month follow-up. Dysfunction due to pain (Oswestry Disability Index [ODI]) decreased from 52.8 at baseline to 27.9 at 12 months (p<.0001 for change, p=.004 for non-inferiority primary hypothesis). SIJ pain scores improved from 78 preoperatively to 21 at 12-month follow-up (P<.0001). Ninety-six percent experienced an improvement of 20 points or more in VAS SIJ pain by month 12. The percentage of subjects reporting minimal difficulty performing physical activities typically impaired by back/SIJ pain improved significantly for all activities. The proportion of subjects taking opioids for SIJ pain decreased from 57% to 22%. Three physical function tests improved markedly from baseline to 1 year. Positive radiographic findings were observed, including a 70% and 77% rate of bone bridging observed at 6 and 12 months, respectively. There was no evidence of device breakage, migration or subsidence.

conclusionIn this prospective multicenter trial, SIJF with 3D-printed TTI markedly improved pain, disability and quality of life. Results are consistent with 3 prior prospective multicenter trials of a milled implant but suggest accelerated bony fusion with the newer implant. Physical function improved, and high rates of opioid cessation were observed. LEVEL OF EVIDENCE: Level II.

Indexed as

chronic low back painsacroiliac joint arthrodesissacroiliac joint paintriangular titanium implants

Identifiers

PMID32607011
PMCPMC7305828
OpenAlexW3035499325

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.