Eurospine 2016: joimax Launches Its New MultiZYTE SI-Joint Endoscopic Therapy Set And Its New Intracs Interaoperative Navigation Tracking & Control System

IRVINE, Calif., Oct. 4, 2016 /PRNewswire-iReach/ — joimax®, the global acting German developer and marketer of technologies and training methods for endoscopic minimally invasive spinal surgery, will again exhibit at Eurospine 2016 taking place from October 5 – 7 in Berlin. During the conference, joimax®will launch two new products – the MultiZYTE® SI Endoscopic Sacroiliac Joint Therapy Set and its new Intracs® Interaoperative Navigation Tracking & Control System.

MultiZYTE® SI Endoscopic Sacroiliac Joint Therapy is developed for the treatment of the Sacroiliac Joint Syndrome (SIJS), which has been rediscovered as a major back pain generator in recent years. This kind of pain is commonly felt in the lower back, the gluteal region, the hip and thigh and can even radiate into the leg and foot. Until the 1930s, SI-Joint was the main reason for low back pain, but since 1934 the focus has been on disc herniation. According to recent studies, 15 to 25% of all low back pain is caused by the SI-Joint and up to 43% in patients having undergone lumbosacral fusion. MultiZYTE® SI joimax® now offers a well developed and lasting treatment option for this disease.

The Intracs® Interaoperative Navigation Tracking & Control System was developed in cooperation between joimax® GmbH Karlsruhe and fiagon GmbH in Berlin, both located in Germany. With the Intracs® system, joimax® instruments can be navigated directly at the tip using Fiagons “chip at the tip” technology which allows tracking of instruments with a diameter in the 1mm range. The Intracs ® Navigation and Monitor Unit is integrated in the joimax® Endoscopic Tower and all necessary tools are tailored for the TESSYS® (transforaminal) and iLESSYS® (interlaminar) procedures as well as for minimally invasive stabilization procedures, like EndoLIF® and Percusys®. The main features of the Intracs® system are needle navigation through Vector-Tip-Target processing tools, the merging of 2D X-Rays with 3D- images of a patient’s CT or MRI scans, and the constant orientation control of any endoscope used in joimax procedures.

“With these two new developments we are in the position to enhance our endoscopic minimally-invasive product portfolio, driving adoption rates to meet new heights. With the world unique Intracs® system, navigation is now faster, safer and more accurate than ever before using an electromagnetic (EM) field. Radiation exposure for both, patients and surgeons will be significantly reduced,” says Wolfgang Ries, CEO and founder of joimax® “Additionally the learning curve for all spinal endoscopic procedures offered by joimax® will now be significantly reduced and the rapid expansion of all these techniques is now well layed-out,” he continues.

About joimax®

Founded in Karlsruhe, Germany, in 2001, joimax® is the leading developer and marketer of complete systems for endoscopic minimally invasive spinal surgery. With TESSYS® (transforaminal), iLESSYS® (interlaminar) and CESSYS® (cervical) for decompression procedures, MultiZYTE® RT (e.g. for rhizotomy) and with MultiZYTE® SI for SI-Joint therapy or with EndoLIF®and Percusys® for minimally-invasive endoscopic assisted stabilizations, proven endoscopic systems are provided that, together, cover a whole variety of indications.

In procedures for herniated disc, stenosis, pain therapy or spinal stabilization treatment, surgeons utilize joimax® technologies to operate through small incisions – under local or full anesthetic – via tissue and muscle-sparing corridors through natural openings into the spinal canal (e.g. intervertebral foramen, the “Kambin triangle”). For more information visit www.joimax.com

Media Contact: Melissa Brumley, joimax® Inc., 001 949 859 3472, Melissa.brumley@joimaxusa.com

News distributed by PR Newswire iReach: https://ireach.prnewswire.com

SOURCE joimax

Stryker’s Spine Division Announces Launch of New LITe® BIO Delivery System

October 04, 2016

ALLENDALE, N.J.–(BUSINESS WIRE)–Stryker’s Spine division today announced the launch of its LITe BIO Delivery System, a hand-held device used to facilitate delivery of bone graft material to spinal surgery sites, which simplifies graft delivery, accommodates a surgeon’s preferred graft materials,1 and allows for direct visualization of graft placement.

The unique design of the LITe BIO Delivery System provides surgeons with a single-handed method to deliver any type of autograft, allograft, or synthetic bone graft material without obstructing visibility. The innovative delivery tool provides tactile, visual, and audible confirmation of bone graft delivery, and the mallet-free system eliminates the impaction of bone graft.

According to Bradley Paddock, President of Stryker’s Spine division, the new LITe BIO Delivery System offers significant benefits. Although conventional bone graft delivery methods can accommodate any type of graft material, they can be cumbersome to use. Pre-filled delivery devices are more streamlined but can only be used with specific graft materials.

“Our new LITe BIO Delivery System is innovative in the marketplace, simplifying graft delivery for spine surgeons,” Paddock said. “Its sleek, versatile design can accommodate any bone graft material and provides surgeons with direct visualization to aid in the precise placement of the graft, which is important for optimal fusion. No other system combines all of these key features—the LITe BIO Delivery System truly is advanced delivery, simplified.”

The LITe BIO Delivery System is the latest addition to Stryker’s comprehensive spine portfolio, which includes products and instruments designed for access, interbody, fixation, and fusion. The patented system can be used for any type of spine fusion surgery, including minimally invasive procedures. The low-profile design allows visibility through a decompression tube without obstructing view. A radiolucent strip facilitates visualization under fluoroscopy, and the disposable cannula allows for delivery of up to 5cc of bone graft at one time.

About Stryker

Stryker is one of the world’s leading medical technology companies and, together with our customers, we are driven to make healthcare better. The Company offers a diverse array of innovative products and services in Orthopaedics, Medical and Surgical, and Neurotechnology and Spine that help improve patient and hospital outcomes. Stryker is active in over 100 countries around the world. Please contact us for more information at www.stryker.com.

1. FDA Cleared Indications for Use: The LITe BIO Delivery System is intended to deliver autograft, allograft or synthetic bone graft materials to all orthopaedic surgical sites.

Content ID BILIT-PR-1_11158

Contacts

Sullivan & Associates
Barbara Sullivan, 714-374-6174
bsullivan@sullivanpr.com

National Science Foundation Funds Nasseo, Inc. for Nanotube Technology on PEEK Orthopedic Devices

SAN DIEGO, Calif., Oct. 3, 2016 /PRNewswire/ — Nasseo, Inc., a medical technology company dedicated to developing enhanced surface technologies for dental and orthopedic applications, has been awarded a Small Business Innovation Research Grant from the National Science Foundation (NSF).

The NSF grant funding will further Nasseo’s work improving spinal implants by using a nano-engineered surface coating; Nasseo will conduct feasibility studies with an optimized nanotube surface on medical grade polyether ether ketone (PEEK).  When applied to PEEK implants, Nasseo’s nanotube surface technology maintains the benefit of the material’s radiolucency while providing an enhanced bone response. The Company’s aim is to improve the osseointegration of PEEK spinal interbody fusion devices.

“The National Science Foundation’s interest in advancing our work is a distinct honor. The grant will accelerate development of our unique platform surface technology, with an ultimate goal of improving clinical outcomes for orthopedic patient care,” says Nasseo’s Co-founder and CTO Dr. Garrett Cale Smith, who will also serve as primary investigator on the study. Prior to Nasseo, Smith co-founded Oculeve, Inc., a medical technology company acquired by Allergan PLC.

Nasseo holds four issued patents on nanotube platform technology.

To date, over 10 years of research have validated Nasseo’s nanotube surface technology; numerous studies have demonstrated enhanced bone cell response and anti-bacterial properties compared with conventional implant surfaces.

About Nasseo, Inc.
Nasseo, Inc. is a privately owned medical device company developing enhanced surface technologies for dental, spinal, and orthopedic applications. Nasseo was founded based on the intellectual property developed at the University of California, San Diego.  The Company’s TiArray Dental Implant System has received 510(k) clearance. Nasseo is headquartered in San Diego, CA, with research & development facilities in Phoenix, AZ.

SOURCE Nasseo, Inc.

NuVasive Appoints Joan Stafslien as Executive Vice President, General Counsel

SAN DIEGO, CA–(Marketwired – October 03, 2016) – NuVasive, Inc. (NASDAQ: NUVA), a leading medical device company focused on transforming spine surgery with minimally disruptive, procedurally-integrated solutions, today announced Joan Stafslien is joining the Company as executive vice president, general counsel and corporate secretary. In this role, Ms. Stafslien will oversee the Company’s global legal function, reporting to NuVasive’s chairman and chief executive officer, Gregory T. Lucier, and serving on the company’s executive leadership team.

Ms. Stafslien brings to NuVasive more than 20 years of experience as a legal advisor to medical technology companies. She joins NuVasive from CareFusion, where she served as general counsel and corporate secretary from 2009 until its acquisition by Becton Dickinson in 2015.

“Joan’s experience spans a broad spectrum of legal areas, including intellectual property, U.S. and International litigation, regulatory compliance, SEC matters and M&A, with extensive experience in the global medical technology sector,” said Mr. Lucier. “Joan’s understanding of complex medical technology companies on high growth trajectories makes her a perfect fit with the strong foundation we have established with our legal team. We continue to invest in building a world-class leadership team to support our growing innovation position in the global spine market.”

Ms. Stafslien’s career includes law firm and corporate experience. She previously served as CareFusion’s general counsel, corporate secretary and chief compliance officer where she led the legal team through the spin-off from Cardinal Health in 2009 and the acquisition by Becton Dickinson in 2015. Previously, she was the segment general counsel of Cardinal Health’s Clinical Technologies and Services from 2004 to 2009. Ms. Stafslien joined Cardinal Health through the acquisition of Alaris Medical Systems in 2004, where she served as deputy general counsel and assistant secretary. Prior to joining Alaris, she was in private practice with Brobeck, Phleger & Harrison. Ms. Stafslien serves on the advisory board of the Chemical and Biological Engineering Department of Northwestern University. She holds a law degree from University of Wisconsin Law School and a bachelor’s degree in Chemical Engineering from Northwestern University.

About NuVasive
NuVasive, Inc. (NASDAQ: NUVA) is a world leader in minimally invasive, procedurally-integrated spine solutions. From complex spinal deformity to degenerative spinal conditions, NuVasive is transforming spine surgery with innovative technologies designed to deliver reproducible and clinically proven surgical outcomes. NuVasive’s highly differentiated, procedurally-integrated solutions include access instruments, implantable hardware and software systems for surgical planning and reconciliation technology that centers on achieving the global alignment of the spine. With $811 million in revenues (2015), NuVasive has an approximate 1,900 person workforce in more than 40 countries around the world. For more information, please visit nuvasive.com.

Forward-Looking Statements
NuVasive cautions you that statements included in this news release that are not a description of historical facts are forward-looking statements that involve risks, uncertainties, assumptions and other factors which, if they do not materialize or prove correct, could cause NuVasive’s results to differ materially from historical results or those expressed or implied by such forward-looking statements. The potential risks and uncertainties which contribute to the uncertain nature of these statements include, among others, risks associated with acceptance of the Company’s surgical products and procedures by spine surgeons, development and acceptance of new products or product enhancements, clinical and statistical verification of the benefits achieved via the use of NuVasive’s products (including the iGA™ platform), the Company’s ability to effectually manage inventory as it continues to release new products, its ability to recruit and retain management and key personnel, and the other risks and uncertainties described in NuVasive’s news releases and periodic filings with the Securities and Exchange Commission.NuVasive’s public filings with the Securities and Exchange Commission are available at www.sec.gov. NuVasive assumes no obligation to update any forward-looking statement to reflect events or circumstances arising after the date on which it was made.

CONTACT INFORMATION

  • Investor Contact:
    Suzanne Hatcher
    NuVasive, Inc.
    858-458-2240
    Email contact

    Media Contact:
    Michael Farrington
    NuVasive, Inc.
    858-909-1940
    Email contact

icotec Brands BlackArmor® as an Alternative Material to Metal in Loadbearing Musculoskeletal Surgical Procedures

ALTSTAETTEN, Switzerland, September 29, 2016 /PRNewswire/ —

icotec AG, an innovative medical device company leading the industry in the development and manufacturing of non-metallic Carbon/PEEK composite medical devices, announces the brand name of BlackArmor® for its Carbon/PEEK material, which boosts a 15 year and 20,000 implantation clinical track record in spinal and fracture surgical care.

 

BlackArmor is a combination of continuous, high-strength carbon fiber reinforced PEEK and the company’s composite flow moulding (CFM) process. The result is a medical device with an interwoven 3D fiber architecture that provides unmatched strength and endurance. icotec’s technology is an enabler for complex designs such as pedicle screws, vertebral body replacement devices or supplemental fixations devices, like anatomical bone plates. The combination of mechanical strength and non-metallic properties make BlackArmor also ideally suited for the treatment of spinal tumors.

 

In the case of spinal tumors, radiation therapy plays an important role in pain management and local tumor control after the surgical removal of the tumor and stabilization of the spinal column.

 

Before administering radiation therapy, the radiologist relies on accurate CT images to plan the radiation dose. However, the presence of metal spinal implants causes significant artifact on the planning images. This artifact makes it more difficult to delineate anatomic structures during radiation therapy planning and correctly calculate the proper dose distributions.

 

During radiation therapy, metal spinal implants may also shield tumor cells from the curing radiation. In addition, metal components induce scattering of the radiation beams into the surrounding soft tissue potentially causing side effects.  In some cases, patients may not be candidates for proton radiation therapy because of the presence of metal implants.

 

BlackArmor is radiolucent in all diagnostic imaging modes (MRI, CT and X-ray) and will therefore not create imaging artifacts; a significant clinical benefit in the postoperative monitoring of anatomical structures. In addition, the non-metallic nature of the BlackArmor material minimizes the risk for patients where metal allergies are a potential concern.

 

Orthopedic implants manufactured from BlackArmor Carbon/PEEK material were approved for CE-mark in 2000 and received FDA clearance in 2005.

 

About icotec

 

Founded in 1999, icotec AG has become a worldwide leader in the design, development and manufacturing of Carbon/PEEK composite to create high strength implants for loadbearing musculoskeletal applications. The company is headquartered in Altstaetten, Switzerland.

 

For further information, please contact info@icotec.ch, +41-717570000 or visit the websitehttp://www.icotec.ch/en/innovation/carbon-peek/

SOURCE icotec

 

Osseon Invests in Leadership

SANTA ROSA, Calif., Sept. 29, 2016 /PRNewswire/ — Osseon is pleased to announce the addition of medical device industry veterans Eric Gilbert as VP of Sales, and Paul Rogan as Area Sales Manager. Mr. Gilbert and Mr. Rogan will join the existing Sales Management team as the company continues to expand its market share.

In response to the company’s rapid growth, Osseon has also implemented cutting-edge cloud-based systems for both customer relationship management and product training. In addition, Osseon continues to partner with a number of physicians, both in the U.S. and abroad, to publish a series of best practices white papers related to the diagnosis and treatment options for Vertebral Compression Fractures.

Osseon will be exhibiting their complete line of Vertebral Compression Fracture treatment products at the North American Spine Society Annual Meeting (NASS) in Boston, October 26-29, 2016, Booth #725.

About Osseon:

Osseon® LLC is a private medical device company located in Santa Rosa, CA. Osseon is driven by the needs of patients and the physicians and health care providers who treat them. The company designs, manufactures and distributes innovative products to improve the quality of life for patients with vertebral compression fractures (VCF). Vertebral compression fractures may result from osteoporosis, osteotraumatic injuries, myelomas or other degenerative bone diseases.

For more information, visit osseon.com. Osseon® is a registered trademark of Osseon LLC.

SOURCE Osseon LLC

Related Links

http://www.osseon.com

AxioMed Cervical and Lumbar Viscoelastic Total Disc Replacement Technology Approved In Australia

BOSTON, MA (PRWEB) SEPTEMBER 29, 2016

AxioMed announced today it has received approval from the Therapeutic Goods Administration (TGA) of Australia to market and sell their cervical and lumbar Freedom Viscoelastic Disc Replacement. The approval, effective immediately, marks an important milestone for AxioMed as the company increases its presence both internationally and domestically in the USA in preparation for FDA approval. The AxioMed viscoelastic disc is a next-generation disc replacement that restores natural disc height, stability, and motion in the human spine.

In response to the TGA approval of the AxioMed discs, company President, Jake Lubinski will be traveling to Australia from October 7-12 to meet with surgeons in Brisbane, Sydney, and Melbourne to discuss the benefits of a viscoelastic disc replacement. “The evolution of total joint technology now enables restoration of joint motion with a high degree of patient satisfaction. AxioMed believes it can replicate this success in spine with their innovative and advanced viscoelastic total disc replacements” says Mr. Lubinski, “we’re excited to make our entrance into one of the most advanced markets globally in total disc replacement”

About AxioMed
Founded in 2001, AxioMed (http://www.axiomed.com/) began its journey of exhaustively proving the Freedom® Disc through clinical studies in the USA and Europe, research, development and testing. In 2014, KICVentures recognized the disc’s enormous potential and acquired the company into their healthcare portfolio. AxioMed owns an exclusive viscoelastic material license on its proprietary Freedom Disc technology.

Phygen, LLC Receives Notice of Allowance on AutoLok Fixation Screw Assembly Under U.S. Patent Application 13/274,243

IRVINE, Calif., Sept. 29, 2016 /PRNewswire/ — Phygen, LLC, a company focused on the development of devices used in the stabilization and repair of spinal disease and trauma, today announced that it has received a Notice of Allowance for its latest pedicle screw assembly utilizing the AutoLok technology.  The unique design and its inherent resistance to back-out will provide a decided advantage to the Leucadia product line as the company continues to implement physician driven innovations in spinal health.

“We are pleased to receive this Notice of Allowance and plan to move forward rapidly on the regulatory and operational fronts with the Leucadia AutoLok system,” said Phygen CEO Thomas W. Gardner.  “The clear advantages of this revolutionary feature will provide our clinical users with innovation developed through our clinical advisory members.  We plan to quickly ramp up our regulatory and manufacturing efforts to get AutoLok technology back into the hands of clinicians as soon as possible. Our clinical advisory board considers this the most significant innovation in pedicle screws since pedicle screws became the gold standard in fusion.

AutoLok was initially introduced in 2011, and over 400 levels were implanted in spinal fusion cases, with no instances of backout and no revisions or field complaints of any kind.  AutoLok was taken off the market after Phygen’s asset sale in 2012, and Phygen has now re-acquired full ownership of the technology.

About Phygen
Spinal disease is the leading cause of lost productivity and surgical intervention in the United States with an annual cost of more than $150 billion.

Phygen LLC is a medical device company focused on the development of surgeon-designed orthopedic spinal implants and instrumentation to address the stabilization and repair of spinal trauma and disease.  Laguna, Lucadia, Coronado, La Costa, Del Mar and Cabo all represent Phygen products designed by spine surgeons for spine surgeons.

For more information, please visit www.Phygenspine.com.

Forward-Looking Statements
This news release includes “forward-looking statements”. These statements are based upon the current beliefs and expectations of Phygen’s management and are subject to significant risks and uncertainties. If underlying assumptions prove inaccurate or risks or uncertainties materialize, actual results may differ materially from those set forth in the forward-looking statements.

Risks and uncertainties include but are not limited to, general industry conditions and competition; significant fluctuations in expenses associated with product development, failure to secure additional financing, the inability to complete regulatory filings with the Food and Drug Administration, general economic factors, including interest rate and currency exchange rate fluctuations; the impact of the medical device industry regulation and health care legislation in the United States and internationally; global trends toward health care cost containment; technological advances, new products and patents attained by competitors; challenges inherent in new product development, including obtaining regulatory approval; Phygen’s ability to accurately predict future market conditions; manufacturing difficulties or delays; financial instability of international economies and sovereign risk; dependence on the effectiveness of Phygen’s patents and other protections for innovative products; and the exposure to litigation, including patent litigation, and/or regulatory actions.

Blue Cross Blue Shield of Nebraska Adopts Positive Coverage for Minimally Invasive Sacroiliac Joint Fusion

SAN JOSE, Calif., Sept. 28, 2016 /PRNewswire/ — SI-BONE, Inc., a medical device company that pioneered the use of the iFuse Implant System® (“iFuse”), a minimally invasive surgical (MIS) device indicated for fusion for certain disorders of the sacroiliac (SI) joint, announced that Blue Cross Blue Shield (BCBS) of Nebraska has updated its medical policy to provide coverage for minimally invasive SI joint fusion using CPT 27279.  BCBS of Nebraska becomes the second BCBS plan following Michigan to establish a positive coverage policy for MIS SI joint fusion.  The new policy is based on a review of published clinical literature available as of March, 2016 and states: “fusion/stabilization of the sacroiliac joint for the treatment of back pain is scientifically validated when the patient has had a positive result with dual diagnostic blocks using 2 anesthetic agents with different duration of action and has tried and failed therapeutic injections and has tried and failed 12 weeks of conservative management which must consist of documented physical therapy and nonsteroidal anti-inflammatory medications.”

References cited within the new coverage policy consisted of published studies specific to iFuse1,2.  iFuse is the only SI joint fusion device with a patented triangular profile that resists joint motion and is supported by more than 45 peer-reviewed positive publications.  No other SI joint fusion device has peer-reviewed published evidence supporting safety and effectiveness, and iFuse is the only such device commercially available in the United States with an indication citing clinical studies that demonstrate improved pain, patient function and quality of life.

“BCBS of Nebraska joins BCBS of Michigan along with a growing list of leading edge private insurers as well as Medicare nationwide to provide coverage for iFuse.  This positive coverage decision provides access to appropriate care for Blue Cross Blue Shield members throughout Nebraska who have been suffering with chronic SI joint dysfunction due to degenerative sacroiliitis or SI joint disruption,” said Michael Mydra, Vice President, Health Outcomes & Reimbursement, SI-BONE.

“I see patients in my practice on a regular basis who have suffered from chronic sacroiliac joint dysfunction for years and no longer respond to non-surgical treatment.  Many of these patients are surgical candidates,” said John Hain, MD at Nebraska Spine Hospital in Omaha, Nebraska.  “I am pleased that I can now offer my BCBS Nebraska patients the only minimally invasive procedure supported by two year outcomes data and give them a chance to have a better quality of life.”

About SI-BONE, Inc.
SI-BONE, Inc. (San Jose, California) is a leading sacroiliac joint medical device company dedicated to the development of tools and products for patients with low back issues related to certain SI joint disorders.  The company develops, manufactures and markets minimally invasive products for the SI joint.  SI-BONE, Inc. received original 510(k) clearance in November 2008 from the Food and Drug Administration (FDA) to market its iFuse Implant System. The CE mark for European commercialization was obtained in November 2010.

The iFuse Implant System is a minimally invasive surgical option that uses titanium implants with a porous surface creating an interference fit designed to help decrease joint motion, and allow for biological fixation to support long-term fusion.  iFuse is the only commercially available SI joint fusion device in the United States with published evidence that demonstrates safety, effectiveness and economic benefits, including three large multicenter prospective studies, two of which are randomized controlled trials (RCTs). Currently, there are more than 45 peer-reviewed publications supporting positive clinical outcomes, safety, biomechanics, and the economic value of iFuse (www.si-bone.com/results).  It is the only SI joint fusion product with a unique FDA clearance recognizing that clinical studies demonstrate improved pain, patient function and quality of life.

The iFuse Implant System is intended for sacroiliac fusion for conditions including sacroiliac joint dysfunction that is a direct result of sacroiliac joint disruption and degenerative sacroiliitis.  This includes conditions whose symptoms began during pregnancy or in the peripartum period and have persisted postpartum for more than 6 months.  Clinical studies have demonstrated that treatment with the iFuse Implant System improved pain, patient function, and quality of life.  There are potential risks associated with the iFuse Implant System.  It may not be appropriate for all patients and all patients may not benefit.  For information about the risks, visit: www.si-bone.com/risks

LITTLE-KNOWN HIP JOINT CAN CAUSE EXCRUTIATING LOWER BACK PAIN

(DANBURY, CT ) – September 9, 2016 – Every year, 31 million Americans grumble “Oh my aching back”. Low back pain can range from a dull, constant ache to a sudden, sharp sensation that leaves the person incapacitated. Pinpointing the source of the pain and proper treatment is complicated enough, but what if the pain isn’t really caused by a problem with the spine?
Dr. David A. Bomback, a Spine and Scoliosis Surgeon with Connecticut Neck and Back Specialists, LLC in Danbury and performs surgery at Danbury Hospital, is helping patients find relief by treating a little known condition called sacroiliac joint dysfunction. Dr. Bomback is the first surgeon at Danbury Hospital to treat the condition with a sacroiliac joint fusion procedure and one of only a few surgeons in the entire state.

Where is the sacroiliac joint?
The sacroiliac joint connects the sacrum, the lowest bony segment of the spine, with the pelvis. The sacroiliac joint transmits most of the load from the upper body to the lower limbs, acting as a shock absorber in relieving forces on the spine. The joint is reinforced and supported by very strong ligaments. Occasionally, these ligaments can become too loose or too stiff so that the joint itself becomes arthritic, leading to persistent pain.
What causes sacroiliac joint dysfunction?
Sacroiliac issues are most commonly seen in mothers who have ligament loosening due to pregnancy, patients who have suffered trauma from an injury or accident, patients with certain arthritic conditions, and patients with previous lower back surgery (especially previous lumbar fusions). Approximately 25% of patients who visit spine surgeons actually have sacroiliac pain as that cause of his or her back pain rather than true lumbar (lower back pain).

 

Tough to Diagnose
Unfortunately, most tests including MRIs, x-rays, and CAT scans do not detect sacroiliac joint dysfunction, making the diagnosis challenging. “The diagnosis is truly made by sitting down and talking to the patient and getting an appropriate history, as well as a physical exam consistent with sacroiliac joint dysfunction,” explains Dr. Bomback. “When I examine a patient with sacroiliac pain, I stress the sacroiliac joint in a number of ways to see if I can elicit and/or reproduce the patient’s pain.”
Common Causes of Back Pain
The vast majority of low back pain is mechanical in nature, meaning damage to a vertebra of the lower spine. In many cases, it is caused by general degeneration of the spine associated with normal wear and tear that occurs in the joints, discs, and bones of the spine as people get older. Sprains, strains and traumatic injury are also contributors.
According to the National Institute of Neurological Disorders and Stroke, about 80% of adults experience low back pain at some point in their lifetimes. It is the most common cause of job-related disability and a leading contributor to missed work days. About 20% of back pain sufferers develop chronic pain with persistent symptoms lasting over one year. In some cases, treatment successfully relieves chronic pain, but in other cases pain persists despite medical and surgical treatment.
“Spinal surgeries at times can have a poor outcome if the diagnosis is made prematurely or incorrectly,” notes Dr. Bomback. “It is critical that the diagnosis of sacroiliac dysfunction is made appropriately, often times after diagnostic injections.”

The nuts and bolts of sacroiliac joint fusion surgery

The surgery involves a minimally invasive approach, placing three screws across the sacroiliac joint, bridging the spine to the pelvis to eliminate any abnormal motion thus allowing the joint to fuse over time. The surgery significantly reduces and oftentimes completely relieves the pain. An incision less than 1 inch in size is made through a tiny tube guided by a live x-ray. The surgery takes approximately 30 minutes and there is minimal and often no blood loss. The patient can usually go home the same day or occasionally after a one night hospital stay.

“The procedure has been around for approximately five to seven years,” said Dr. Bomback. “To date, approximately 19,000 patients have had the surgery in this country. We feel it is likely a permanent solution to the cause of their lower back pain and therefore offers an improvement in their quality of life.”

For more information on sacroiliac joint fusion surgery or to learn if you are a candidate for the procedure, please call 203-744-9700 or visit www.ctneckandback.com.

About Western Connecticut Health Network
Western Connecticut Health Network (WCHN) is the region’s premier, patient-centred health care organization built for the people we serve in Western Connecticut and adjacent New York. WCHN is anchored by three nationally recognized hospitals, Danbury Hospital, New Milford Hospital and Norwalk, with the continuum of outpatient health and wellness services offered by numerous medical practices and sub-specialties across the region through the Western Connecticut Medical Group, the Western Connecticut Home Care. Committed to learning and innovation, our hospitals collaborate with the University of Vermont Medical College and many other well-known academic institutions to promote the most progressive care possible. The nationally renowned WCHN Research Institute, the WCHN Foundation and Norwalk Hospital Foundation and other affiliates complete the WCHN family where We Know You Well! For more information, visit TheNewWCHN.org. Share your comments with us at Facebook.com/DanburyHospital; Facebook.com/NewMilfordHospital and/orFacebook.com/NorwalkHospital