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Subspecialty Procedures

Minimally Invasive Sacroiliac Joint Fusion

A Lateral Approach Using Triangular Titanium Implants and Navigation

Polly, David W. Jr. MD1,a; Holton, Kenneth J. MD1

Author Information
doi: 10.2106/JBJS.ST.19.00067
  • Open
  • Associated Video
  • Disclosures


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Published outcomes of this procedure can be found at: Int J Spine Surg. 2016 Aug 23;10:28, Pain Physician. 2017 Sep;20(6):537-50, and Med Devices (Auckl). 2019 Sep 26;12:411-22.


1. Polly DW, Swofford J, Whang PG, Frank CJ, Glaser JA, Limoni RP, Cher DJ, Wine KD, Sembrano JN; INSITE Study Group. Two-year outcomes from a randomized controlled trial of minimally invasive sacroiliac joint fusion vs. non-surgical management for sacroiliac joint dysfunction. Int J Spine Surg. 2016 Aug 23;10:28.
    2. Dengler JD, Kools D, Pflugmacher R, Gasbarrini A, Prestamburgo D, Gaetani P, van Eeckhoven E, Cher D, Sturesson B. 1-year results of a randomized controlled trial of conservative management vs. minimally invasive surgical treatment for sacroiliac joint pain. Pain Physician. 2017 Sep;20(6):537-50.
    3. Dengler J, Duhon B, Whang P, Frank C, Glaser J, Sturesson B, Garfin S, Cher D, Rendahl A, Polly D; INSITE, iMIA, SIFI Study Groups. Predictors of outcome in conservative and minimally invasive surgical management of pain originating from the sacroiliac joint: a pooled analysis. Spine (Phila Pa 1976). 2017 Nov 1;42(21):1664-73.
      4. Dengler J, Kools D, Pflugmacher R, Gasbarrini A, Prestamburgo D, Gaetani P, Cher D, Van Eeckhoven E, Annertz M, Sturesson B. Randomized trial of sacroiliac joint arthrodesis compared with conservative management for chronic low back pain attributed to the sacroiliac joint. J Bone Joint Surg Am. 2019 Mar 6;101(5):400-11.
      5. Kennedy DJ, Engel A, Kreiner DS, Nampiaparampil D, Duszynski B, MacVicar J. Fluoroscopically guided diagnostic and therapeutic intra-articular sacroiliac joint injections: a systematic review. Pain Med. 2015 Aug;16(8):1500-18. Epub 2015 Jul 14.
      6. Prather H, Hunt D. Conservative management of low back pain, part I. Sacroiliac joint pain. Dis Mon. 2004 Dec;50(12):670-83.
      7. Polly DW Jr. The sacroiliac joint. Neurosurg Clin N Am. 2017 Jul;28(3):301-12.
      8. Cross WW, Tavanaiepour K, Paschel EE, Gerszten PC. Percutaneous sacroiliac joint fusion: indications and technique. Oper Tech Orthop. 2017 Dec;27(4):236-41.
      9. Ledonio CGT, Polly DW Jr, Swiontkowski MF. Minimally invasive versus open sacroiliac joint fusion: are they similarly safe and effective? Clin Orthop Relat Res. 2014 Jun;472(6):1831-8.
      10. Polly D, Cher D, Whang PG, Frank C, Sembrano J; INSITE Study Group. Does level of response to SI joint block predict response to SI joint fusion? Int J Spine Surg. 2016 Jan 21;10:4.
        11. Sturesson B, Kools D, Pflugmacher R, Gasbarrini A, Prestamburgo D, Dengler J. Six-month outcomes from a randomized controlled trial of minimally invasive SI joint fusion with triangular titanium implants vs conservative management. Eur Spine J. 2017 Mar;26(3):708-19. Epub 2016 May 14.
        12. Rudolf L. Sacroiliac joint arthrodesis-MIS technique with titanium implants: report of the first 50 patients and outcomes. Open Orthop J. 2012;6:495-502. Epub 2012 Nov 30.
          13. Whang P, Cher D, Polly D, Frank C, Lockstadt H, Glaser J, Limoni R, Sembrano J. Sacroiliac joint fusion using triangular titanium implants vs. non-surgical management: six-month outcomes from a prospective randomized controlled trial. Int J Spine Surg. 2015 Mar 5;9:6.
            14. Whang PG, Darr E, Meyer SC, Kovalsky D, Frank C, Lockstadt H, Limoni R, Redmond AJ, Ploska P, Oh M, Chowdhary A, Cher D, Hillen T. Long-term prospective clinical and radiographic outcomes after minimally invasive lateral transiliac sacroiliac joint fusion using triangular titanium implants. Med Devices (Auckl). 2019 Sep 26;12:411-22.
              15. Duhon BS, Cher DJ, Wine KD, Kovalsky DA, Lockstadt H; SIFI Study Group. Triangular titanium implants for minimally invasive sacroiliac joint fusion: a prospective study. Global Spine J. 2016 May;6(3):257-69. Epub 2015 Aug 11.
                16. Palmiere C, Augsburger M, Del Mar Lesta M, Grabherr S, Borens O. Fatal hemorrhage following sacroiliac joint fusion surgery: a case report. Leg Med (Tokyo). 2017 May;26:102-5. Epub 2015 Jun 23.
                  17. Hoel RJ, Ledonio CG, Takahashi T, Polly DW Jr. Sacral bone mineral density (BMD) assessment using opportunistic CT scans. J Orthop Res. 2017 Jan;35(1):160-6. Epub 2016 Aug 26.

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