Favorite "Go-To" SIJ Fusion Device??

[drusso]

I'm hearing outstanding results from this procedure in the right hands.

What's your favorite company for this procedure?

CornerLoc | Sacroiliac Joint Fusion System

Learn about the CornerLoc™ SI joint stabilization procedure and the causes of sacroiliac joint dysfunction. Watch videos and testimonials.

cornerloc.com

LinQ™ - SI Joint Fusion System — Advanced Diagnostic Pain Treatment Centers

LinQ™ - SI Joint Fusion System is a minimally invasive therapy for sacroiliac joint pain. The LinQ™ system is intended for sacroiliac joint fusion for conditions such as Degenerative Sacroiliitis and Sacroiliac Joint Disruptions. The procedure allows for fusion and stabilization of the SI joint in e

www.ihurt.com

Sacrix - Stop SI Joint Pain

Sacrix is the first direct posterior instrumentation designed for the outpatient setting to treat pain from the sacroiliac joint.

www.sacrixles.com

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[lobelsteve]

Not as good as stem cells and prp.

Procedure makes no sense based on MOA.

 

[BobBarker]

Sacrix and the MDT product are basically big screws across the outer ileum and through the joint.

there are about 1000 bone graft wedge type products to choose froM.

I would not try to blend these two groups as while they use the same cpt are clearly different procedures.

I have done maybe 15 or so cornerlocs. Maybe a few more but I think less than 20. Only 3 have not had much improvement.

 

[bedrock]

I'm hearing outstanding results from this procedure in the right hands.

What's your favorite company for this procedure?

CornerLoc | Sacroiliac Joint Fusion System

Learn about the CornerLoc™ SI joint stabilization procedure and the causes of sacroiliac joint dysfunction. Watch videos and testimonials.

cornerloc.com

LinQ™ - SI Joint Fusion System — Advanced Diagnostic Pain Treatment Centers

LinQ™ - SI Joint Fusion System is a minimally invasive therapy for sacroiliac joint pain. The LinQ™ system is intended for sacroiliac joint fusion for conditions such as Degenerative Sacroiliitis and Sacroiliac Joint Disruptions. The procedure allows for fusion and stabilization of the SI joint in e

www.ihurt.com

Sacrix - Stop SI Joint Pain

Sacrix is the first direct posterior instrumentation designed for the outpatient setting to treat pain from the sacroiliac joint.

www.sacrixles.com

That is just the rep doing a Jedi mind trick on you.

Where is the 12 month data on these patients? I’ll bet you $100, that none of these devices have a randomized, placebo controlled, trial to 1 yr demonstrating >50% relief of pain.

 

[pmrmd]

I'm hearing outstanding results from this procedure in the right hands.

You’re trying to be funny, right?

 

[joshmir]

Which of these procedures has something removable in case it makes them worse?

 

[BobBarker]

Cornerloc certainly could not be removed. Sacrix and MDT Rialto could probably be removed but the trauma and the huge holes in the bone after would make that something that should be avoided.

 

[drusso]

You’re trying to be funny, right?

 

[SSdoc33]

$ound$ like he'$ $erious.....

 

[pmrmd]

$eriou$ly..

 

[drusso]

$eriou$ly..

SI Joint Fusion? The Most Unnecessary Spine Surgery? - Regenexx

Regenexx offers non-surgical, regenerative orthopedic treatment options for pain related to osteoarthritis, joint injuries, overuse conditions, spine pain, and common sports injuries.

regenexx.com

 

[SSdoc33]

I could be wrong, but it is totally in drusso's wheelhouse to post about sij fusions, knowing full well that we would question the practice. Then he could pivot to more Centeno propaganda. It looks like this was a 2 step brainwashing. Taking it to another level.

At least it isnt directly anti SOS stuff

 

[DODOCSS]

I could be wrong, but it is totally in drusso's wheelhouse to post about sij fusions, knowing full well that we would question the practice. Then he could pivot to more Centeno propaganda. It looks like this was a 2 step brainwashing. Taking it to another level.

At least it isnt directly anti SOS stuff

are you as slow as the lone one?

 

[SSdoc33]

are you as slow as the lone one?

No clue what you are talking about, but you typically cant post more than 3 words at a time, so im not surprised

 

[drusso]

I could be wrong, but it is totally in drusso's wheelhouse to post about sij fusions, knowing full well that we would question the practice. Then he could pivot to more Centeno propaganda. It looks like this was a 2 step brainwashing. Taking it to another level.

At least it isnt directly anti SOS stuff

Weren't you ever on the debate team in high school? You pick a topic out a hat. The teacher flips a coin: Heads = pro; Tail = con. Go. If we don't debate controversial **** what are we going to talk about?

 

[Ducttape]

my basketball "skills"....

 

[pmrmd]

If we don't debate controversial **** what are we going to talk about?

Lighter topics like immigration or abortion.

 

[lonelobo]

Lighter topics like immigration or abortion.

I am for both

 

[pmrmd]

I am for both

It was supposed to be a joke and a comment not to be answered so the thread doesn’t devolve to anarchy.

 

[lonelobo]

It was supposed to be a joke and a comment not to be answered so the thread doesn’t devolve to anarchy.

I know but it is Friday night and everyone is on fire...thought I would stoke the flames

 

[deleted993114]

I'm hearing outstanding results from this procedure in the right hands.

What's your favorite company for this procedure?

CornerLoc | Sacroiliac Joint Fusion System

Learn about the CornerLoc™ SI joint stabilization procedure and the causes of sacroiliac joint dysfunction. Watch videos and testimonials.

cornerloc.com

LinQ™ - SI Joint Fusion System — Advanced Diagnostic Pain Treatment Centers

LinQ™ - SI Joint Fusion System is a minimally invasive therapy for sacroiliac joint pain. The LinQ™ system is intended for sacroiliac joint fusion for conditions such as Degenerative Sacroiliitis and Sacroiliac Joint Disruptions. The procedure allows for fusion and stabilization of the SI joint in e

www.ihurt.com

Sacrix - Stop SI Joint Pain

Sacrix is the first direct posterior instrumentation designed for the outpatient setting to treat pain from the sacroiliac joint.

www.sacrixles.com

Everything old is new again. It is like PRP- that failed 25 years ago; so most of the guys who know it doesn't work are retired, so it is time to bring it out to a new generation of physicians.

SI fusion was popular in the mid 90s. What happened? ALL of those patients developed severe degeneration of their hips (requiring arthroplasty) and had this weird "gangsta rappa" gait. It is physics- those forces have to go somewhere when the SI joints are fused and they go laterally.

Like PRP, SI fusions failed in the past and they are failing again. However, never let past experience and logic get in the way of a good paying procedure.

 

[callmeanesthesia]

Everything old is new again. It is like PRP- that failed 25 years ago; so most of the guys who know it doesn't work are retired, so it is time to bring it out to a new generation of physicians.

SI fusion was popular in the mid 90s. What happened? ALL of those patients developed severe degeneration of their hips (requiring arthroplasty) and had this weird "gangsta rappa" gait. It is physics- those forces have to go somewhere when the SI joints are fused and they go laterally.

Like PRP, SI fusions failed in the past and they are failing again. However, never let past experience and logic get in the way of a good paying procedure.

The hardware they were using then was essentially the same as lumbar rods and screws, requiring a large incision through the gluteal muscles, right? Isn’t it possible that the disruption of the muscle is what led to the gait issues, and a less invasive technique may produce superior results?

 

[lobelsteve]

The hardware they were using then was essentially the same as lumbar rods and screws, requiring a large incision through the gluteal muscles, right? Isn’t it possible that the disruption of the muscle is what led to the gait issues, and a less invasive technique may produce superior results?

Fusion then was perc screws x2 in each joint. Never worked then, no reason it will work now. Great that every company has a kit to sell and training is going on all over the country.

 

[bedrock]

SIJ fusion is one of the worst procedures I can think of and I would never do this to a patient. Inflammatory sacroilitis responds to meds/steroid injection, OA of SIJ responds to steroid injection.

SIJ laxity can be treated with good PT and possibly prolotherapy/PRP.

SIJ dysfunction/laxity needs good PT and many docs don't understand what isn't good PT of the SIJ. Seriously 2/3 PTs are not that good at SIJ dysfunction. You have to find a local PT with advanced post grad training to get high quality SIJ PT.

If all of the above fail, then SIJ ablation is indicated, preferably cooled RF, but bipolar, or strip lesion with 16G cannula also helpful. But never ever an SIJ fusion.

 

[callmeanesthesia]

SIJ fusion is one of the worst procedures I can think of and I would never do this to a patient. Inflammatory sacroilitis responds to meds/steroid injection, OA of SIJ responds to steroid injection.

SIJ laxity can be treated with good PT and possibly prolotherapy/PRP.

SIJ dysfunction/laxity needs good PT and many docs don't understand what isn't good PT of the SIJ. Seriously 2/3 PTs are not that good at SIJ dysfunction. You have to find a local PT with advanced post grad training to get high quality SIJ PT.

If all of the above fail, then SIJ ablation is indicated, preferably cooled RF, but bipolar, or strip lesion with 16G cannula also helpful. But never ever an SIJ fusion.

What specific exercises do you recommend for SI?

 

[drusso]

What specific exercises do you recommend for SI?

 

[bedrock]

depends on the situation and the specific type of SIJ dysfunction. If it was easy to treat with generic one size fits all PT, then more PTs would be good at it.

 

[lonelobo]

Everything old is new again. It is like PRP- that failed 25 years ago; so most of the guys who know it doesn't work are retired, so it is time to bring it out to a new generation of physicians.

SI fusion was popular in the mid 90s. What happened? ALL of those patients developed severe degeneration of their hips (requiring arthroplasty) and had this weird "gangsta rappa" gait. It is physics- those forces have to go somewhere when the SI joints are fused and they go laterally.

Like PRP, SI fusions failed in the past and they are failing again. However, never let past experience and logic get in the way of a good paying procedure.

Gangsta rappa gait? WTH
Don't tell me you use the word"Chinaman" too

 

[BobBarker]

He’s talking about a C walk. 107 Hoova’s used to run my hometown back in the late 90s. Great description.