UK NICE recommends sacroiliac joint fusion for chronic sacroiliac pain

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Some sacroiliac joint fusion devices on the market (from left to right: SI-Bone iFuse, Globus Medical SI-Lok, NuTech SI-Fix, Zyga SImmetry)

The UK’s National Institute for Health and Care Excellence (NICE) has published their Interventional Procedure Guidance document for minimally invasive sacroiliac joint fusion surgery for chronic sacroiliac pain. The guidance recommends that the procedure be available to properly diagnosed patients in the UK National Health System (NHS).

NICE develops guidance and quality standards in health and social care and is a worldwide leader in technology evaluations. NICE’s role is to improve outcomes for people using the NHS and other public health services.

The recommendation states that the safety and efficacy of minimally invasive sacroiliac joint fusion surgery is adequate provided that standard arrangements are in place. They also recommend that the procedure be performed by trained surgeons using a lateral transarticular approach, and that patients have been properly diagnosed with sacroiliac joint dysfunction due to degenerative sacroiliitis or sacroiliac joint disruption.

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