Evidence map›Paper›PMID 41938703›Full record

ArticleNorth American Spine Society journal2026

Sacroiliac joint fixation with a posterior intra-articular implant versus a posterolateral transiliac implant: A biomechanical comparison.

Connor Huxman, Joshua Tandio, Douglas Beall, Sarah Mayer, Adam Rogers, Thomas P Hedman, Jonathan A Hyde, Usman Latif, Richard Oluwatodimu Raji, Jeremi M Leasure

Abstract read
In one paragraph

Article in North American Spine Society journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Connor HuxmanSpinal Simplicity, LLC, 6363 College Blvd., Suite 320, Overland Park, KS 66211, United States.
Joshua TandioMedical Device Development, 2390 Mission Street, Suite 8, San Francisco, CA 94110, United States.
Douglas BeallComprehensive Specialty Care, 1023 Waterwood Parkway, Edmond, OK 73034, United States.
Sarah MayerMedical Device Development, 2390 Mission Street, Suite 8, San Francisco, CA 94110, United States.
Adam RogersSpinal Simplicity, LLC, 6363 College Blvd., Suite 320, Overland Park, KS 66211, United States.
Thomas P HedmanSpinal Simplicity, LLC, 6363 College Blvd., Suite 320, Overland Park, KS 66211, United States.
Jonathan A HydeMiami Spine Specialists, 4308 Alton Road, Suite 830, Miami Beach, FL 33140, United States.
Usman LatifAnesthesiology, Pain and Perioperative Medicine, University of Kansas Medical Center, 3901 Rainbow Blvd., MS 1034, Kansas City, KS 66160, United States.
Richard Oluwatodimu RajiMedical Device Development, 2390 Mission Street, Suite 8, San Francisco, CA 94110, United States.
Jeremi M LeasureMedical Device Development, 2390 Mission Street, Suite 8, San Francisco, CA 94110, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Along with the growing recognition of sacroiliac joint dysfunction as a contributor to chronic low back pain has come the increase in the utilization of sacroiliac fusion devices. Relative to the various surgical approaches for sacroiliac joint fusion, the posterior intra-articular approach has been described as a potentially less invasive approach that has less proximity to critical neurovascular structures. Methods: In this controlled cadaveric study, posterior and posterolateral sacroiliac fixation implants are compared, characterizing each implant's joint stabilization, resistance to fatigue loading, implantation geometry, and positional safety. Pelves were subjected to isolated flexion/extension, lateral bending, axial rotation, and axial compression loads in intact, destabilized, fixed, and postfatigue conditions. Reductions in motion were computed with optical marker tracking. Positional safety was assessed through radiographic measurements from each implant to salient anatomic landmarks. Results: Compared to the posterolateral implant, the novel posterior implant provides improved flexion/extension stability both after fixation (33% vs. 0% motion reduction, p < .01) and after fatigue loading (25% reduction vs. 1% increase, p < .05). The posterior implant reduces device migration after fatigue loading (0.1 mm vs. 0.7 mm, p < .05), removes less bone during placement (955 mm Conclusions: These cadaveric findings suggest biomechanical stability and positional safety advantages for the posterior device. Additional data on patient outcomes, fusion rates, and intraoperative safety is needed to assess clinical performance.

Indexed as

BiomechanicsIntra-articular implantMinimally invasive surgeryNeural foramenPosterior approachSacroiliac fusionSacroiliac joint dysfunctionSacroiliac joint fixationSafety

Identifiers

PMID41938703
PMCPMC13049684

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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.