From a historical perspective, orthopaedic surgeons have been performing percutaneous iliosacral screw fixation for years, especially in trauma. Because of the potential for soft tissue complications with open posterior exposures, the concept of limiting the amount of surgical dissection for fusion and fixation has become popular. Since this procedure (IFuse) is performed percutaneously a thorough understanding of the sacral radiographic anatomy is demanded. Why? Because there is no chance to guide or confirm implant placement by direct palpation or direct visualization. Three major structures are at risk of injury whenever using a guide wire, drill bit or implant, these include the iliac artery, the superior artery and the S1 root canals and their foramina.
Based on the biomechanical testing, this implant provides the surgeon with an implant that can withstand greater bending and shear loads than traditional cannulated screws. So in the spirit of debate, is there a place for this product or is this another one of those one-trick pony's looking for a procedure, or, is this another one of those implants that can be used to stage a patient to ultimate posterior fusion?
Maybe, SI Bone can hook up with Apple and make the IFuse Surgical Technique an application on the IPhone? It would save the company the headache of developing a distribution network and the cost of sales? Could this be the future? I think I will call Steve Jobs.