Evidence map›Paper›PMID 34512010›Full record

ArticleJournal of pain research2021

Pain Relief Salvage with a Novel Minimally Invasive Posterior Sacroiliac Joint Fusion Device in Patients with Previously Implanted Pain Devices and Therapies.

Timothy R Deer, Adam Rupp, Ryan Budwany, Christopher J Bovinet, John W Chatas, Stephen T Pyles, Nomen Azeem, Sean Li, Ramana Naidu, Ajay Antony and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
2.1field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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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

12 authors at 9 institutions in 1 country.

Timothy R DeerThe Spine & Nerve Centers of the Virginias, Charleston, WV, USA.ORCID 0000-0001-8907-7730
Adam RuppDepartment of Physical Medicine and Rehabilitation, University of Kansas Medical Center, Kansas City, KS, USA.
Ryan BudwanyWest Virginia University, Charleston, WV, USA.
Christopher J BovinetThe Spine Center of Southeast Georgia, Brunswick, GA, USA.
John W ChatasMichigan Pain Specialists, Ypsilanti, MI, USA.
Stephen T PylesPain Treatment Centers, Ocala, FL, USA.
Nomen AzeemFlorida Spine & Pain Specialists, Riverview, FL, USA.ORCID 0000-0002-6609-5976
Sean LiPremier Pain Centers, Shrewsbury, NJ, USA.ORCID 0000-0002-0492-1179
Ramana NaiduCalifornia Orthopedics & Spine, Larkspur, CA, USA.ORCID 0000-0003-1123-1771
Ajay AntonyThe Orthopaedic Institute, Gainesville, FL, USA.
Jonathan M HagedornDepartment of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-1039-8166
Dawood SayedDepartment of Anesthesiology, University of Kansas Medical Center, Kansas City, KS, USA.ORCID 0000-0001-8867-2140
University of Kansas Medical Center · USMayo Clinic in Arizona · USMedical Advanced Pain Specialists · USPain Management Centers Of America · USSouthern California Orthopedic Institute · USThe Orthopaedic Institute · USThe Spine Institute · USThe Spine & Nerve Centers of the Virginias · USWest Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSacroiliac joint (SIJ) pain is a common cause of low back pain, a problem experienced by two-thirds of adults in the United States population. Traditionally, the management of persistent SIJ-related pain has involved conservative therapies (physical therapy, topical medications, oral anti-inflammatory medications), interventional therapies (SIJ steroid injections or ablation), and surgery (SIJ fusion; open and lateral approach). Recent advancements in technology have paved the way for SIJ fusion via a posterior approach, which aims to minimize complications and enhance recovery.

objectiveThe purpose of this study is to introduce the concept of the posterior approach to SIJ fusion as a feasible adjunct and salvage technique for patients with inadequate pain relief from other minimally invasive surgical procedures, and to validate its efficacy through a retrospective multicenter data analysis.

designMulticenter retrospective observational study.

methodsPatients with refractory SIJ pain were treated by interventional pain physicians at one of the eight different pain management centers. All patients underwent posterior SIJ fusion via the LinQ

resultsA total of 111 patients were included in the study and underwent posterior SIJ fusion for refractory SIJ-related pain following the use of spinal cord stimulation (SCS), interspinous spacer (ISS), intrathecal drug delivery (IDDS), and/or minimally invasive lumbar decompression (MILD). Overall, the mean patient reported pain relief following posterior SIJ fusion was 67.6%. In patients with a history of failed back surgery syndrome, the mean patient reported pain relief was 76.5%.

conclusionIn this retrospective case series of patients with continued intolerable pain following SCS, ISS, IDDS, or MILD, a novel posterior SIJ fusion device provided significant pain relief in a salvage manner. These early results suggest that this intervention may be a therapeutic option to consider in these patients.

Indexed as

lumbar decompressionposterior SIJ fusionsacroiliac joint painsalvagespinal cord stimulation

Identifiers

PMID34512010
PMCPMC8421555
OpenAlexW3197716618

What OpenQuestion holds

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Registered trials

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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.