standard-title MultiZYTE® SI

MultiZYTE® SI

MultiZYTE® SI

Endoscopic Treatment of the Sacroiliac Joint Syndrome

Pain, which results from a Sacroiliac Joint Syndrome (SIJS) is commonly felt in the lower back, the gluteal region, the hip and thigh and can even radiate into the leg and foot. It may worsen by movements that put pressure onto the joint, such as standing up from a seated position, walking upwards, prolonged sitting or walking, or twisting motions. On average 45% of the cases affect the right and 35% the left sacroiliac joint. Bilateral symptoms can be found in approximately 20%.1

By combining various provocation tests, the sacroiliac joint can be diagnosed clinically as the cause of low back pain. Further steps include imaging techniques such as X-Ray, CT scan or MRI. A definite diagnosis however might require an intra-articular SI-Joint Block as it is the gold standard test for diagnosis of Sacroiliac Joint Syndrome.

 

Rediscovery of the Sacroiliac Joint Syndrome
  • Until the 1930th SI-Joint was the main reason for low back pain
  • Since 1934 focus on disc herniation2
  • Over the last years rediscovery of the SI-Joint as pain generator
  • According to recent studies 15 – 25% of all low back pain is caused by the SI-Joint3 and up to 43% in patients having undergone lumbosacral fusion4
Treatment of Sacroiliac Joint Syndrome under endoscopic view

Treatment of Sacroiliac Joint Syndrome under endoscopic view

 

MultiZYTE® SI – developed for a long lasting therapy success

With MultiZYTE® SI joimax® provides physicians an instrument set for the treatment of the SI-Joint Syndrome. Under endoscopic view nerve fibers are identified and then ablated in a very precise and controlled way, so that the patient will feel a significant pain relief almost immediately after the procedure.5 Depending on the indication the joint capsule can be treated in the same procedure using diverse instruments to puncture, infiltrate or ablate tissue.

Diamond abrasor on the foraminal bone edge

Diamond abrasor on the foraminal bone edge

Endoscope on lateral margin of the foramen

Endoscope on lateral margin of the foramen


Literature

1 Bernard TN, Cassidy JD, The sacroiliac joint syndrome: Pathophysiology, diagnosis, and management. In: Frymoyer JW, ed. The Adult Spine: Principles and Practice 2nd ed. Lippincott-Raven Publishers, Philadelphia 1997, 2343-2363.

2 Mixter, Barr, The New England Journal of Medicine 1934, Rupture of the intervertebral disc with involvement of the spinal canal.

3 Cohen, Anesthesia & Analgesia 2005, Sacroiliac Joint Pain: A Comprehensive Review of Anatomy, Diagnosis, and Treatment: 1440-1453: 1142.

4 DePalma et al, Pain Medicine, Etiology of Chronic Low Back Pain in Patients Having Undergone Lumbar Fusion, 2011, 732-739:736.

5 Ibrahim R., Presentation of Results after treatment of 60 patients at the DGNC (German Neurosurgery Society) 2016, Frankfurt, Germany