Summary of SI Joint Fusion - Brian Rich, M.D.

00:00:00 - 00:20:00

This video discusses the use of the lateral approach to SI joint fusion, which is less difficult than the posterior approach and is safe to use in safe zones around important vasculature. Dr. Brian Rich demonstrates the use of this technique, explaining how to use an inlet view and how to determine if a third screw is necessary. This treatment is highly patient-dependent and requires a lot of skill on the part of the surgeon.

• 00:00:00 In this video, Dr. Brian Rich demonstrates the lateral approach to si joint fusion. This approach is typically used when anatomy and structures are avoided because they may hit the patient's anatomy. With careful planning, Dr. Rich is able to make an incision in a safe area and start the dissection. Once he has gotten down to the muscle, he uses blunt dissection to remove the fat and then starts fusion surgery.
• 00:05:00 The video discusses the use of lateral fusion techniques, specifically joint fusion surgery and the use of dilators. Dr. Brian Rich, a medical doctor, discusses how to position a guide wire during the surgery, and how to make sure the patient remains safe.
• 00:10:00 Brian Rich, M.D., demonstrates the lateral approach to SI joint fusion. This approach is less difficult than the posterior approach, and is safe to use in safe zones around important vasculature.
• 00:15:00 This video discusses the use of SI joint fusion, which is a treatment option for people with problems with the si joint. In order to achieve good results, the video explains how to use an inlet view and how to determine if a third screw is necessary. It is important to note that this treatment is highly patient-dependent and requires a lot of skill on the part of the surgeon.
• 00:20:00 The video discusses a hip joint fusion technique called S1-S2 fusion, which is a standard approach used by most hip joint fusion manufacturers. The name of the manufacturer and the system demonstrated are both mentioned. The screw used in the technique has a conus ending, which is a common feature of this approach. There is a paper recently published that covers the biomechanical principles of this technique. Two points of fixation are enough to achieve successful fusion, and the video transitions to the next segment.