"Does truth ultimately prevail ?
History tends to say yes in medical innovations
Here are some truths about the sacroiliac joint (SIJ):
1. As the largest synovial joint in the axial skeleton, the SIJ has extensive cartilage endplates and a significant lubricant presence.
2. The practice of using a relatively small, intra-articular device for SIJ fusion overlooks the joint's large surface area and may explain the current lack of supporting radiologic evidence.
3. Arguing over who is technically qualified to perform SIJ fusion with implants ignores the ethical implications of inserting non-retrievable devices in patients.
Sacrix, Medtronic, and SI-BONE have invented various
techniques and titanium implants to transfix across the SIJ to address the fusion challenges.
The Sacrix implant, for instance, features a complex multithreaded matrix design with RBM surface texturing and the technique was aimed at crossing from posteriorly to anteriorly using two implants separated from each other to increase the chance of immediate stabilization and eventual fusion. This was a lot of orthopedic engineering for a reason !! Its effectiveness has been supported by peer-reviewed publications since receiving FDA approval in 2015.
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Sacrix can be inserted percutaneously through an incision smaller than 1 inch and is retrievable by the physician.
Truth is this technique can be done safely by interventional pain management, orthopedic surgeons and neurosurgeons.
I hold a deep respect for all medical innovations, acknowledging
that there is no perfect solution for all patients. Thanks to Vasilios Kountis, DO for his image.
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www.NANISX.com
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