Background: Distraction arthrodesis (DA) and stabilization of the sacroiliac (SI) joint by placing standalone structural allograft (SA) into the joint from a posterior trajectory has recently been introduced as a surgical procedure for chronic SI joint pain refractory to non-operative care.
Methods: Retrospective case series of patients with recurrent and/or persistent pain after placement of one or more interpositional/intraarticular standalone SAs between the ilium and sacrum using a posterior procedure to treat SI joint pain/dysfunction. Patients subsequently underwent surgical revision with porous titanium fusion implants using a lateral transfixing procedure. The demographic, clinical, and radiographic features of these cases are described.
Results: Data were available for 37 patients. The average (SD) age was 57 (13) years, 62% were female, and the average BMI was 31 (5.4). On average, two SA implants were placed per joint; 46% of cases were bilateral. At follow-up, two common themes were identified: lucencies around the implants and suboptimal implant position. None of the cases showed radiographic fusion of the SI joint prior to revision. One patient had an inflammatory reaction to the SA. All patients presented for revision due to either continued (49%) or recurrence (51%) of pain. In one revision case, the SA was forced ventrally, resulting in a sacral fracture, which was treated conservatively without sequelae.
Conclusions: The popularity of standalone SA for SI joint stabilization/fusion with a posterior procedure is increasing. This case series demonstrates that clinical failures from this procedure may require surgical revision. The proposed fusion strategy (DA) for these products is unproven in the SI joint, and, therefore, properly conducted prospective randomized clinical trials with long-term clinical and radiographic follow-up are important to establish the safety and efficacy of this approach. In the meantime, the placement of lateral titanium implants appears to be an effective revision strategy.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9309279 | PMC |
| http://dx.doi.org/10.2147/MDER.S369808 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Surgery for giant ovarian cysts in Guyana using single-port laparoscopy: a retrospective case series analysis.
Afr J Reprod Health
December 2024
Department of Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical School, Nanjing , China.
Giant ovarian cysts (GOCs) have become less common in developed countries due to routine health screenings, but they remain prevalent in economically underdeveloped regions. Treatment options for GOCs depend on factors such as age, cyst characteristics, and pregnancy status. Minimally invasive single-port laparoscopic surgery has largely replaced traditional open surgery due to its aesthetic advantages and effectiveness.
View Article and Find Full Text PDFSeasonal Shifts in Influenza, Respiratory Syncytial Virus, and Other Respiratory Viruses After the COVID-19 Pandemic: An Eight-Year Retrospective Study in Jalisco, Mexico.
Viruses
December 2024
State Public Health Laboratory, Zapopan 45170, Jalisco, Mexico.
The coronavirus disease 2019 (COVID-19) pandemic profoundly disrupted the epidemiology of respiratory viruses, driven primarily by widespread non-pharmaceutical interventions (NPIs) such as social distancing and masking. This eight-year retrospective study examines the seasonal patterns and incidence of influenza virus, respiratory syncytial virus (RSV), and other respiratory viruses across pre-pandemic, pandemic, and post-pandemic phases in Jalisco, Mexico. Weekly case counts were analyzed using an interrupted time series (ITS) model, segmenting the timeline into these three distinct phases.
View Article and Find Full Text PDFA Lightweight and Small Sample Bearing Fault Diagnosis Algorithm Based on Probabilistic Decoupling Knowledge Distillation and Meta-Learning.
Sensors (Basel)
December 2024
College of Information, Liaoning University, Shenyang 110036, China.
Rolling bearings play a crucial role in industrial equipment, and their failure is highly likely to cause a series of serious consequences. Traditional deep learning-based bearing fault diagnosis algorithms rely on large amounts of training data; training and inference processes consume significant computational resources. Thus, developing a lightweight and suitable fault diagnosis algorithm for small samples is particularly crucial.
View Article and Find Full Text PDFTemporal Logical Attention Network for Log-Based Anomaly Detection in Distributed Systems.
Sensors (Basel)
December 2024
Department of Computer Science, University of Bristol, Bristol BS8 1QU, UK.
Detecting anomalies in distributed systems through log analysis remains challenging due to the complex temporal dependencies between log events, the diverse manifestation of system states, and the intricate causal relationships across distributed components. This paper introduces a TLAN (Temporal Logical Attention Network), a novel deep learning framework that integrates temporal sequence modeling with logical dependency analysis for robust anomaly detection in distributed system logs. Our approach makes three key contributions: (1) a temporal logical attention mechanism that explicitly models both time-series patterns and logical dependencies between log events across distributed components, (2) a multi-scale feature extraction module that captures system behaviors at different temporal granularities while preserving causal relationships, and (3) an adaptive threshold strategy that dynamically adjusts detection sensitivity based on system load and component interactions.
View Article and Find Full Text PDFLabel Accuracy and Quality of Select Weight-Loss Dietary Supplements Sold on or near US Military Bases.
Nutrients
December 2024
Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, MD 20814, USA.
: Sixty-eight percent of service members are living with overweight or obesity, some who may not consult a healthcare provider when they decide to lose weight. Instead, they often turn to weight-loss dietary supplements for self-care solutions. The purpose of this case series study was to examine the label accuracy and quality of select weight-loss dietary supplements sold on or near US military bases across the country.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!