Limits...
Utilization of Minimally Invasive Surgical Approach for Sacroiliac Joint Fusion in Surgeon Population of ISASS and SMISS Membership.

Lorio MP, Polly DW, Ninkovic I, Ledonio CG, Hallas K, Andersson G - Open Orthop J (2014)

Bottom Line: This survey revealed that the percentage of MIS procedures increased from 39% in 2009 to over 87% in 2012.The survey showed a significant increase in average number of MIS surgeries and a significant difference between open and MIS surgeries in 2012 (p<0.0001).In addition, 80% of the survey respondents indicated a lack of preference toward open approach if that was the only available option.

View Article: PubMed Central - PubMed

Affiliation: Neuro-Spine Solutions, P.C., Bristol, TN, USA.

ABSTRACT

Introduction: The sacroiliac joint (SIJ) may be a source of chronic low back pain in 15 -22% of patients. Over the past four years MIS is an emerging standard of care for SI joint fusion. The International Society for the Advancement of Spine Surgery (ISASS) and Society for Minimally Invasive Spine Surgery (SMISS) conducted a survey of their members to examine current preferences in surgeon practice of MIS SI fusion.

Methods: To qualify for survey participation, the surgeon had to perform at least one open or MIS SIJ fusion procedure between 2009 and 2012. All surgeons were instructed to review their records. This included the number of surgical procedures performed annually from 2009-2012, site of service where each procedure was commonly performed, and average length of stay for each approach.

Results: Twenty four percent (121/500) of the eligible members participated in this survey. This survey revealed that the percentage of MIS procedures increased from 39% in 2009 to over 87% in 2012. The survey showed a significant increase in average number of MIS surgeries and a significant difference between open and MIS surgeries in 2012 (p<0.0001). In addition, 80% of the survey respondents indicated a lack of preference toward open approach if that was the only available option.

Conclusions: According to performed survey, MIS SIJ fusion is preferred over open technique. Incorporation of the MIS technique into the spine surgeon's specter of skills would allow an increased number of surgical options as well as possible increase in outcome quality.

No MeSH data available.


Related in: MedlinePlus

Surgical Technique Preference indicating performance ofsacroiliac joint fusion in absence of MIS surgical technique.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3924210&req=5

Figure 6: Surgical Technique Preference indicating performance ofsacroiliac joint fusion in absence of MIS surgical technique.

Mentions: A marked change and an inversely proportional relationship were noted between the use of open and MIS surgical approaches when the site of service was observed. When looking at the use of open vs MIS surgery in hospital inpatients and outpatient, as well as Ambulatory Surgical Center (ASC) sites, one can observe that the outpatient and ASC sites perform MIS surgical approach versus open procedures. Summary of these findings can be observed in Fig. (4) and Table 2. Average length of stay for both types of surgical techniques was reported by our surgeon population. The average length of stay for Open surgical procedure was 4.33 days while the average for MIS procedure was 1.69 days (Fig. 5). Answers to question 6 addressed surgeon preference toward either open or MIS techniques. Under the assumption that the open procedure would be the only available procedure, 77 surgeons indicated that they would not perform the procedure, while 33 answered positively to performing an open surgical technique (Fig. 6). Thus, the 80% of the survey respondents said that they would not perform an open surgical approach if that was the only available option.


Utilization of Minimally Invasive Surgical Approach for Sacroiliac Joint Fusion in Surgeon Population of ISASS and SMISS Membership.

Lorio MP, Polly DW, Ninkovic I, Ledonio CG, Hallas K, Andersson G - Open Orthop J (2014)

Surgical Technique Preference indicating performance ofsacroiliac joint fusion in absence of MIS surgical technique.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3924210&req=5

Figure 6: Surgical Technique Preference indicating performance ofsacroiliac joint fusion in absence of MIS surgical technique.
Mentions: A marked change and an inversely proportional relationship were noted between the use of open and MIS surgical approaches when the site of service was observed. When looking at the use of open vs MIS surgery in hospital inpatients and outpatient, as well as Ambulatory Surgical Center (ASC) sites, one can observe that the outpatient and ASC sites perform MIS surgical approach versus open procedures. Summary of these findings can be observed in Fig. (4) and Table 2. Average length of stay for both types of surgical techniques was reported by our surgeon population. The average length of stay for Open surgical procedure was 4.33 days while the average for MIS procedure was 1.69 days (Fig. 5). Answers to question 6 addressed surgeon preference toward either open or MIS techniques. Under the assumption that the open procedure would be the only available procedure, 77 surgeons indicated that they would not perform the procedure, while 33 answered positively to performing an open surgical technique (Fig. 6). Thus, the 80% of the survey respondents said that they would not perform an open surgical approach if that was the only available option.

Bottom Line: This survey revealed that the percentage of MIS procedures increased from 39% in 2009 to over 87% in 2012.The survey showed a significant increase in average number of MIS surgeries and a significant difference between open and MIS surgeries in 2012 (p<0.0001).In addition, 80% of the survey respondents indicated a lack of preference toward open approach if that was the only available option.

View Article: PubMed Central - PubMed

Affiliation: Neuro-Spine Solutions, P.C., Bristol, TN, USA.

ABSTRACT

Introduction: The sacroiliac joint (SIJ) may be a source of chronic low back pain in 15 -22% of patients. Over the past four years MIS is an emerging standard of care for SI joint fusion. The International Society for the Advancement of Spine Surgery (ISASS) and Society for Minimally Invasive Spine Surgery (SMISS) conducted a survey of their members to examine current preferences in surgeon practice of MIS SI fusion.

Methods: To qualify for survey participation, the surgeon had to perform at least one open or MIS SIJ fusion procedure between 2009 and 2012. All surgeons were instructed to review their records. This included the number of surgical procedures performed annually from 2009-2012, site of service where each procedure was commonly performed, and average length of stay for each approach.

Results: Twenty four percent (121/500) of the eligible members participated in this survey. This survey revealed that the percentage of MIS procedures increased from 39% in 2009 to over 87% in 2012. The survey showed a significant increase in average number of MIS surgeries and a significant difference between open and MIS surgeries in 2012 (p<0.0001). In addition, 80% of the survey respondents indicated a lack of preference toward open approach if that was the only available option.

Conclusions: According to performed survey, MIS SIJ fusion is preferred over open technique. Incorporation of the MIS technique into the spine surgeon's specter of skills would allow an increased number of surgical options as well as possible increase in outcome quality.

No MeSH data available.


Related in: MedlinePlus