Sacroiliac joint fusion. Open versus minimally invasive surgery.
Martínez-Férez IM, Carlos-Gil AM, Isabel-Gómez, Beltrán-Calvo C, Molina-López T.
Record ID 32018000437
Spanish
Original Title:
Fijación sacroilíaca. Cirugía abierta frente a percutánea.
Authors' objectives:
The aim of this study was to assess the comparative efficacy/effectiveness and safety in the SIJ fusion by open surgery versus minimally invasive surgery, in adult patients with chronic sacroiliac pain.
Authors' results and conclusions:
-Minimally invasive surgery reduces hospitalization time, estimated blood loss and operation room time compared to open surgery (level of evidence 3). Minimally invasive surgery reduces hospitalization time, estimated blood loss and operation room time compared to open surgery (level of evidence 3).
-The two tracks have clinically significant reductions in pain at 2 years follow-up being the greatest reduction in percutaneous intervention (evidence level 3).
-Adverse events were slightly higher in the open surgery compared to the minimally invasive surgery (evidence level 3).
Authors' recommendations:
In patients diagnosed with sacroiliac joint pain, refractory to any conventional therapy (pharmacological, physiotherapy, rehabilitative, denervation) and in which the joint fusion is presented as the last treatment option, is recommend minimally invasive surgery versus open surgery (Grade of Recommendation D).
Details
Project Status:
Completed
Year Published:
2014
URL for published report:
https://www.aetsa.org/publicacion/fijacion-sacroiliaca-cirugia-abierta-frente-a-percutanea/
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Spain
MeSH Terms
- Low Back Pain
- Minimally Invasive Surgical Procedures
- Spinal Fusion
- Sacroiliac Joint
- Chronic Pain
- Pain Measurement
- Blood Loss, Surgical
- Length of Stay
- Operative Time
Contact
Organisation Name:
Andalusian Health Technology Assessment Area
Contact Address:
Area de Evaluacion de Tecnologias Sanitarias Sanitarias de Andalucia (AETSA) Avda. Innovación, s/n Edificio Arena 1. Sevilla (Spain) Tel. +34 955 006 309
Contact Name:
aetsa.csalud@juntadeandalucia.es
Contact Email:
aetsa.csalud@juntadeandalucia.es
Copyright:
Andalusian Agency for Health Technology Assessment (AETSA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.