Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Differential Diagnosis of Posterior Buttock Pain: A Conceptual Review Based on Topographic Localization of Pain, Is It Really the Sacroiliac Joint?

International journal of spine surgery·2025
Same author

Minimally Invasive SI Joint Fusion Procedures for Chronic SI Joint Pain: Systematic Review and Meta-Analysis of Safety and Efficacy.

International journal of spine surgery·2023
Same author

Ethnic Differences in Western and Asian Sacroiliac Joint Anatomy for Surgical Planning of Minimally Invasive Sacroiliac Joint Fusion.

Diagnostics (Basel, Switzerland)·2023
Same author

Revision of Failed Sacroiliac Joint Posterior Interpositional Structural Allograft Stabilization with Lateral Porous Titanium Implants: A Multicenter Case Series [Response to Letter].

Medical devices (Auckland, N.Z.)·2022
Same author

Minimally invasive sacroiliac fusion, a case series, and a literature review.

SICOT-J·2022
Same author

Revision of Failed Sacroiliac Joint Posterior Interpositional Structural Allograft Stabilization with Lateral Porous Titanium Implants: A Multicenter Case Series.

Medical devices (Auckland, N.Z.)·2022

Related Experiment Video

Updated: Dec 1, 2025

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
15:04

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery

Published on: February 17, 2018

12.5K

Minimally Invasive Sacroiliac Joint Fusion with Triangular Titanium Implants: Cost-Utility Analysis from NHS

Deirdre B Blissett1, Rob S Blissett2, Matthew P Newton Ede3,4

  • 1MedTech Economics Ltd., Winchester, UK. deirdre.blissett@medtecheconomics.co.uk.

Pharmacoeconomics - Open
|November 9, 2020
PubMed
Summary
This summary is machine-generated.

Minimally invasive sacroiliac joint fusion (MI SIJF) surgery is a cost-effective treatment for sacroiliac joint pain compared to non-surgical management (NSM) within the NHS. This surgical approach offers improved quality-adjusted life years (QALYs) at a favorable incremental cost-effectiveness ratio (ICER).

More Related Videos

A Novel Surgical Technique in a Sheep Model for Suburethral Graft Implantation
13:45

A Novel Surgical Technique in a Sheep Model for Suburethral Graft Implantation

Published on: June 20, 2025

763
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
03:22

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion

Published on: November 10, 2023

1.2K

Related Experiment Videos

Last Updated: Dec 1, 2025

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
15:04

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery

Published on: February 17, 2018

12.5K
A Novel Surgical Technique in a Sheep Model for Suburethral Graft Implantation
13:45

A Novel Surgical Technique in a Sheep Model for Suburethral Graft Implantation

Published on: June 20, 2025

763
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
03:22

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion

Published on: November 10, 2023

1.2K

Area of Science:

  • Health Economics
  • Orthopedic Surgery
  • Pain Management

Background:

  • Sacroiliac joint (SIJ) pain significantly impacts patient quality of life, often persisting despite conservative treatments.
  • Non-surgical management (NSM) options for SIJ pain include physical therapy, corticosteroid injections, and radiofrequency ablation.
  • Minimally invasive sacroiliac joint fusion (MI SIJF) surgery presents a potential alternative for refractory SIJ pain.

Purpose of the Study:

  • To evaluate the cost-effectiveness of MI SIJF surgery versus NSM for patients with SIJ pain from a UK National Health Service (NHS) perspective.
  • To compare the costs and quality-adjusted life years (QALYs) gained from MI SIJF against various NSM strategies over a 5-year horizon.

Main Methods:

  • A 5-year cohort state transition model was employed to compare MI SIJF with NSM pathways (physical therapy, corticosteroid injections, radiofrequency ablation).
  • Three NSM strategies were modeled: stepped care, a combination of treatments, and radiofrequency ablation alone.
  • Incremental Cost-Effectiveness Ratio (ICER) was calculated in 2018 British pounds per QALY gained; sensitivity analyses were performed.

Main Results:

  • MI SIJF resulted in higher total costs (£8358) but yielded more QALYs (2.98) compared to NSM strategy 1 (£6880, 2.30 QALYs), with an ICER of £2164/QALY.
  • MI SIJF demonstrated favorable ICERs against all modeled NSM strategies, ranging from £2164/QALY to £2518/QALY.
  • Probabilistic sensitivity analysis indicated a high probability (91-97%) of MI SIJF being cost-effective at a £20,000/QALY threshold.

Conclusions:

  • Minimally invasive sacroiliac joint fusion (MI SIJF) surgery is a cost-effective intervention for managing chronic SIJ pain within the NHS.
  • The findings support MI SIJF as a valuable treatment option for patients who have not responded to conservative management.
  • The study highlights the long-term economic benefits of MI SIJF in improving patient outcomes and quality of life.