BACKGROUND: A number of studies have been published regarding minimally invasive surgical (MIS) fusion of the @entity8480 ( @entity8480 ) joint using a lateral transarticular approach. Herein we report a systematic review and meta-analysis to summarize operative measures and clinical outcomes reported in published studies of MIS @entity2720 . METHODS: The systematic review was done according to PRISMA standards. PubMed and EMBASE were searched using the terms @entity8480 joint AND fusion. Original peer-reviewed articles in the English language that reported clinical outcomes on at least 5 cases of MIS @entity2720 using a lateral transarticular approach were included. Random effects meta-analysis (RMA) was performed on selected variables using the DerSimonian and Laird method, including operative measures, VAS @entity8480 joint @entity158 ratings (0-10 scale) and @entity717 Index (ODI). Mean and 95% confidence intervals (CI) were calculated and heterogeneity was assessed. Other findings were summarized qualitatively. RESULTS: A total of 18 articles met the inclusion criteria. After accounting for overlapping cohorts, 12 unique cohorts from 4 countries were extracted for a total of 432 subjects. The RMA mean (range) was 59 minutes (27-78) for procedure time, 36.9cc (10-70) for estimated @entity190 and 1.7 days (range 0-7) for length of stay (LOS). The RMA mean [95% CI] @entity158 score dropped by 5.2 points at 6 months and 5.3 points at 12 months (baseline score of 8.1 [7.8-8.4], 12-month score of 2.7 [2.1-3.3]), and a 24-month score of 2.0(1.4-2.5). ODI decreased by 31 points at 12 months (baseline score of 56.2 [51.0-61.5], 6-month score of 30.7 [21.8-39.6], and 12-month score of 25.1 [12.3-37.9]). Some estimates showed significant variation across studies and between the types of implants used. Other reported outcomes were supportive of the positive effects of @entity2720 . CONCLUSION: Published studies of MIS @entity2720 using a lateral transarticular approach confirm its minimally invasive characteristics with minimal @entity190 and short operating room times, and show consistent, rapid, sustained and clinically important improvements in @entity1 reported @entity8480 joint @entity158 , disability and quality of life scores.

A systematic review of minimally invasive XXXX utilizing a lateral transarticular technique.

@entity1 :: ('9606', 'Species') :: ['patient'] @entity8480 :: ('MESH:C563037', 'Disease') :: ['SI', 'sacroiliac'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity2720 :: ('MESH:D007592', 'Disease') :: ['SI joint fusion'] @entity717 :: ('MESH:D009069', 'Disease') :: ['Oswestry Disability']
@entity2720 :: (MESH:D007592,Disease) :: ['sacroiliac joint fusion']
