Minimally invasive surgery could relieve patients of back pain
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Updated: 6:58 PM Aug 4, 2010
Minimally invasive surgery could relieve patients of back pain
A minimally-invasive surgery could help back pain patients find relief.
Posted: 4:11 PM Aug 4, 2010
Reporter: Maureen McFadden
Email Address: maureen.mcfadden@wndu.com
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80 percent of Americans will suffer lower back pain at some point in their lives. For many patients with aching backs, the problem may actually be a joint that connects the back and hip.

Now, a minimally-invasive surgery could help these patients find relief.

When 66-year-old John Baxter says yard work used to be a pain in the butt, he's not kidding.

"From both buttocks down both of my legs to my knees were totally fatigued when you walk. I had constant pain across my lower back and extreme pain, at times, depending on what you were doing,” says John.

Heavy lifting at work three years ago injured his sacroiliac joint or SIJ. That’s where the pelvis joins the spinal column.

Spine surgeon Dr. Arnold Graham Smith says for patients with persistent pain, even surgical options are rare.

"Very few people are doing the major operation to open the joint up and pack it with bone chips. I'm one of those people who has done that, but for the great majority of people, there's been no treatment available at all,” says Dr. Graham Smith.

Dr. Graham Smith uses porous triangular rods in a new procedure to fix the joint called arthrodesis. Guided by live imaging, he cuts three slots across the sacroiliac joint then places the rods through the joint to stabilize it.

"The procedure works because it stops the joint from moving, and it's only movement which brings on the pain,” says Dr. Graham Smith.

Three months after surgery, John has found relief.

"My back pain's gone, and the numbness down both legs is gone,” he says.

This new surgery has been approved by the FDA.

Patients can suffer sacroiliac injuries at nearly any age. Common causes are automobile accidents, like rear-end collisions, heavy lifting and sometimes even childbirth.



RESEARCH SUMMARY:
TOPIC: NEW SURGERY EASES ACHING BACKS
BACKGROUND: Low back pain is the most common form of physical disability. According to the Academy of Physical Medicine and Rehabilitation, about 80 percent of all Americans will suffer from back pain at some point in their lives. Back pain is the second-leading cause of work absence.

THE SI JOINT: For some patients, the sacroiliac (SI) joint is to blame for their pain. The SI joint is located in the pelvis and links the iliac bones (pelvis) to the sacrum (the lowest part of the spine above the tailbone). The SI joint can be injured or can become degenerative. Pain can be felt anywhere from the lower buttocks to the lower spine. Some studies show up to 33 percent of all low back pain is caused by the SI joint. Women are at an increased risk for developing SI joint problems because of their broader pelvises, the greater curve of their necks and shorter limb lengths. In addition, pregnancy often leads to stretching of the pelvis, specifically in the sacroiliac ligaments.

THE iFUSE IMPLANT SYSTEM: Traditional SI joint fusion involves open surgery that requires a significant incision to access the joint, removal of cortical tissue from the joint, and the use of bones grafts from another part of the body to fuse the joint. The iFuse Implant System is a new, less-invasive option for patients. The procedure requires a smaller incision, uses a guide pin and places two or more titanium implants across the SI joint. These implants are designed to fix the joint and allow healing. "The procedure works because it stops the joint from moving, and it's only movement that brings on the pain," Arnold Graham Smith, M.D., an orthopedic spine surgeon at Baptist Medical Center in Jacksonville, Fla., told Ivanhoe. The implants are triangular-shaped titanium devices about the size of someone's little finger. They have triangular cross-sections to prevent them from rotating once they have been implanted. The surgery typically takes less than an hour. Usually, a CT scan is performed after surgery to help verify the position of the implants.

FOR MORE INFORMATION, PLEASE CONTACT:
Office of Arnold Graham Smith, M.D.
Baptist Medical Center South
Jacksonville, FL
(904) 391-6862