Evidence map›Paper›PMID 36575465›Full record

Observational studyJournal of orthopaedic surgery and research2022

Double-center observational study of minimally invasive sacroiliac joint fusion for sacroiliac joint dysfunction: one-year results.

Sem M M Hermans, Rob J H Knoef, Valérie N E Schuermans, Martijn G M Schotanus, Jorm M Nellensteijn, Henk van Santbrink, Inez Curfs, Wouter L W van Hemert

Open access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Guideline
  2. Utility of minimally invasive percutaneous arthrodesis of the sacroiliac joint for the treatment of low back pain: 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 · 2025
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Review
  9. 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

8 authors at 4 institutions in 1 country.

Sem M M HermansDepartment of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Heerlen, The Netherlands. semhermans@hotmail.com.
Rob J H KnoefDepartment of Orthopaedic Surgery, Medical Spectrum Twente, Enschede, The Netherlands.
Valérie N E SchuermansCare and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Martijn G M SchotanusDepartment of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Heerlen, The Netherlands.
Jorm M NellensteijnDepartment of Orthopaedic Surgery, Medical Spectrum Twente, Enschede, The Netherlands.
Henk van SantbrinkCare and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Inez CurfsDepartment of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Heerlen, The Netherlands.
Wouter L W van HemertDepartment of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Heerlen, The Netherlands.
Zuyderland Medisch Centrum · NLMaastricht University · NLMedisch Spectrum Twente · NLMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor a substantial part of patients with chronic low back pain, the origin is located in the sacroiliac joint (SIJ). Minimally invasive sacroiliac joint fusion (MISJF) is increasingly being implemented as a treatment option in SIJ dysfunction. Despite remaining controversy, evidence continues to increase. This study evaluates the clinical results and safety of MISJF in a double-center consecutive case series in patients with SIJ dysfunction over a one-year observation period.

methodsSIJ complaints were diagnosed after history taking, physical examination and least a 50% reduction of SIJ pain 30-60 min following image-guided injection. Primary outcome measures were patient reported outcome measurements (PROMs), consisting of Visual Analogue Scale (VAS) pain score and EuroQol 5-dimensions 3-levels (EQ-5D-3L). Patients' perspectives on the effects of surgery were collected through questionnaires. Secondary outcome measures were implant positioning and (serious) adverse events ((S)AE's).

resultsA total of 29 patients were included. In 44.8% of patients, SIJ dysfunction was of postpartum origin. The mean VAS-pain score improved from 7.83 (± 1.71) to 4.97 (± 2.63) postoperatively (p < 0.001). EQ-5D-3L score improved from 0.266 (± 0.129) to 0.499 (± 0.260) postoperatively (p < 0.001). Opioid consumption decreased from 44.8 to 24.1% postoperatively (p = 0.026). In 13.7% of patients, an (S)AE occurred.

conclusionMISJF appears to be an effective and safe procedure in this cohort. Statistically significant and clinically relevant improvements in pain and quality of life were observed one-year postoperatively. Future studies should focus on the long-term outcomes to further evaluate the safety and effectiveness of MISJF.

Indexed as

Low Back PainSpinal DiseasesSpinal FusionFemaleHumansMinimally Invasive Surgical ProceduresQuality of LifeSacroiliac Joint

Identifiers

PMID36575465
PMCPMC9794474
OpenAlexW4312213395

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.