The purpose of this study is to evaluate the long term safety and effectiveness of SI joint fusion using the iFuse Implant System in patients with degenerative sacroiliitis (DS) and/or sacroiliac joint disruptions (SD). Study Design: This study is extended follow-up from two ongoing multicenter prospective US clinical trials. All participants have already undergone the surgical procedure of interest (SI joint fusion with iFuse Implant System). The two ongoing trials are: * SIFI:( Sacroiliac Joint Fusion with iFuse Implant System) a single-arm trial of patients with degenerative sacroiliitis or sacroiliac joint disruption who underwent iFuse placement, and * INSITE(Investigation of Sacroiliac Fusion Treatment): a randomized clinical trial of the same patient population who underwent either non-surgical treatment or iFuse placement
Study Type
OBSERVATIONAL
Enrollment
103
Pelvic CT at 5 years post-op
Yale University School of Medicine
New Haven, Connecticut, United States
Regenerative Orthopaedics and Spine Institute
Stockbridge, Georgia, United States
Orthopaedic Center of Southern Illinois
Mount Vernon, Illinois, United States
Bluegrass Orthopaedics & Hand Care
Lexington, Kentucky, United States
Columbia Orthopaedic Group
Columbia, Missouri, United States
Oklahoma Center for Spine & Pain Solutions
Oklahoma City, Oklahoma, United States
Allegheny Medical Center
Pittsburgh, Pennsylvania, United States
MUSC
Charleston, South Carolina, United States
Precision Spine Care
Tyler, Texas, United States
Overlake Hospital Medical Center
Bellevue, Washington, United States
...and 2 more locations
Subject Success
Composite endpoint of success defined as improvement in VAS (Visual Analog Scale) recorded at SIFI or INSITE Baseline VAS back pain score by ≥20 mm; Absence of device-related SAE (Serious Adverse Events) ; Absence of neurological worsening related to the sacral spine,\& Absence of surgical re-intervention on the target SI joint(s).
Time frame: 3 years on LOIS (5 years post-op)
Radiographic (CT) apposition of bone to sacral and iliac sides of implant
Proportion of subjects (with CT) who had at least 30% apposition of bone to sacral and iliac sides in at least 2 of 3 iFuse implants.
Time frame: 3 years on LOIS (5 years post-op)
VAS (Visual Analog Scale)
Improvement in VAS (Visual Analog Scale), SI joint pain at follow-up visits.
Time frame: 3 years on LOIS (5 years post-op)
Oswestry Disability Index (ODI) Questionnaire
Improvement in Oswestry Disability Index (ODI) at follow-up visits.
Time frame: 3 years on LOIS (5 years post-op)
Improvement in quality of life (QOL)
Improvement in quality of life as measure by EQ-5D Questionnaire at follow-up visits.
Time frame: 3 years on LOIS (5 years post-op)
non-working subjects returning to work
Proportion of non-working subjects who return to work
Time frame: 3 years on LOIS (5 years post-op)
CT scans showing bridging bone
Proportion of CT scans that show bridging bone across the SI joint at 5 years post-operatively
Time frame: 3 years on LOIS (5 years post-op)
SAE (Serious Adverse Events) occurrence rate
Occurrence rate of serious adverse events.
Time frame: 3 years on LOIS
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