Evidence map›Paper›PMID 38278549›Full record

SynthesisCanadian journal of surgery. Journal canadien de chirurgie

Minimally invasive sacroiliac joint fusion using triangular titanium implants versus nonsurgical management for sacroiliac joint dysfunction: a systematic review and meta-analysis.

Abdullah A Ghaddaf, Jawaher F Alsharef, Noor K Alsharef, Mawaddah H Alsaegh, Raneem M Alshaban, Amal O Almutairi, Amal H Abualola, Mohammed S Alshehri

Open access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 14% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. 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
  2. Pooled it
  3. Does spinopelvic imbalance after minimally invasive lower lumbar fusion predispose patients to subsequent minimally invasive sacroiliac joint fusions? a case-control 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 · 2025
    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.

Abdullah A GhaddafFrom the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia (Ghaddaf, J. Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); the King Abdullah International Medical Research Center, Jeddah, Saudi Arabia (Ghaddaf, J.Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); and the Department of Orthopedic Surgery, King Abdulaziz Medical City, Jeddah, Saudi Arabia (Alshehri). abdullahg.official@gmail.com.
Jawaher F AlsharefFrom the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia (Ghaddaf, J. Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); the King Abdullah International Medical Research Center, Jeddah, Saudi Arabia (Ghaddaf, J.Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); and the Department of Orthopedic Surgery, King Abdulaziz Medical City, Jeddah, Saudi Arabia (Alshehri).
Noor K AlsharefFrom the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia (Ghaddaf, J. Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); the King Abdullah International Medical Research Center, Jeddah, Saudi Arabia (Ghaddaf, J.Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); and the Department of Orthopedic Surgery, King Abdulaziz Medical City, Jeddah, Saudi Arabia (Alshehri).
Mawaddah H AlsaeghFrom the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia (Ghaddaf, J. Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); the King Abdullah International Medical Research Center, Jeddah, Saudi Arabia (Ghaddaf, J.Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); and the Department of Orthopedic Surgery, King Abdulaziz Medical City, Jeddah, Saudi Arabia (Alshehri).
Raneem M AlshabanFrom the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia (Ghaddaf, J. Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); the King Abdullah International Medical Research Center, Jeddah, Saudi Arabia (Ghaddaf, J.Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); and the Department of Orthopedic Surgery, King Abdulaziz Medical City, Jeddah, Saudi Arabia (Alshehri).
Amal O AlmutairiFrom the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia (Ghaddaf, J. Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); the King Abdullah International Medical Research Center, Jeddah, Saudi Arabia (Ghaddaf, J.Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); and the Department of Orthopedic Surgery, King Abdulaziz Medical City, Jeddah, Saudi Arabia (Alshehri).
Amal H AbualolaFrom the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia (Ghaddaf, J. Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); the King Abdullah International Medical Research Center, Jeddah, Saudi Arabia (Ghaddaf, J.Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); and the Department of Orthopedic Surgery, King Abdulaziz Medical City, Jeddah, Saudi Arabia (Alshehri).
Mohammed S AlshehriFrom the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia (Ghaddaf, J. Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); the King Abdullah International Medical Research Center, Jeddah, Saudi Arabia (Ghaddaf, J.Alsharef, N. Alsharef, Alsaegh, Alshaban, Almutairi, Abualola, Alshehri); and the Department of Orthopedic Surgery, King Abdulaziz Medical City, Jeddah, Saudi Arabia (Alshehri).
King Abdulaziz Medical City · SAKing Abdullah International Medical Research Center · SAKing Saud bin Abdulaziz University for Health Sciences · SAUniversity of Bisha · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive sacroiliac joint (MISIJ) fusion is a surgical option to relieve SIJ pain. The aim of this systematic review and meta-analysis was to compare MISIJ fusion with triangular titanium implants (TTI) to nonoperative management of SIJ dysfunction.

methodsWe searched MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials. We included prospective clinical trials that compared MISIJ fusion to nonoperative management in individuals with chronic low back pain attributed to SIJ dysfunction. We evaluated pain on visual analogue scale, Oswestry Disability Index (ODI) score, health-related quality of life (HRQoL) using the 36-Item Short Form Health Survey (SF-36) physical component (PCS) and mental component summary (MCS) scores, patient satisfaction, and adverse events.

resultsA total of 8 articles representing 3 trials that enrolled 423 participants were deemed eligible. There was a significant reduction in pain score with MISIJ fusion compared with nonoperative management (standardized mean difference [SMD] -1.71, 95% confidence interval [CI] -2.03 to -1.39). Similarly, ODI scores (SMD -1.03, 95% CI -1.24 to -0.81), SF-36 PCS scores (SMD 1.01, 95% CI 0.83 to 1.19), SF-36 MCS scores (SMD 0.72, 95% CI 0.54 to 0.9), and patient satisfaction (odds ratio 6.87, 95% CI 3.73 to 12.64) were significantly improved with MISIJ fusion. No significant difference was found between the 2 groups with respect to adverse events (SMD -0.03, 95% CI -0.28 to 0.23).

conclusionOur analysis showed that MISIJ fusion with TTI shows a clinically important and statistically significant improvement in pain, disability score, HRQoL, and patient satisfaction with a similar adverse event profile to nonoperative management in patients with chronic low back pain attributed to SIJ dysfunction.

Indexed as

Joint DiseasesLow Back PainSacroiliac JointClinical Trials as TopicHumansProspective StudiesQuality of LifeSpinal DiseasesSpinal FusionTitaniumTitanium

Identifiers

PMID38278549
PMCPMC10824395
OpenAlexW4391255673

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.