Abstract: A system for fixating a dysfunctional sacroiliac joint for SI joint fusion, the system including a sacroiliac joint implant and a delivery tool configured for approaching a sacroiliac joint. The system may include an implant having a porous 3D matrix structure and may be manufactured by laser or electron beam additive manufacturing. The delivery tool may include a radiolucent material. The SI fusion system may further include custom sacroiliac joint implants, anchors, alignment tools or targeting arms manufactured for a particular patient. Pre-surgical imaging studies, including 3D rendering, and their interpretation may assist in planning desired trajectories, anchor dimensions and implant dimensions and may provide details specific to the manufacture of particular sacroiliac joint tools or implants and their implantation into the sacroiliac joint. The system may be configured for use with surgical robots and may include an integrated nerve monitoring and stimulation system.

Abstract: A method of fusing a sacroiliac joint including implanting a joint implant into the sacroiliac joint such that the joint implant passes through a posterior-inferior access region, the joint implant having an implanted position in the sacroiliac joint such that a portion of the joint implant is positioned within a caudal portion of an articular plane of the sacroiliac joint.

Abstract: A method of treating a sacroiliac joint at a sacroiliac joint region having a sacrum, an ilium and a sacroiliac joint space therebetween, the method comprising: a) delivering a joint implant into the sacroiliac joint region, the joint implant comprising a body including a length extending between a proximal end and a distal end, an external surface extending the length, and a fixation member receiving channel extending the length and disposed in the external surface; and b) delivering a fixation member into the fixation member receiving channel thereby forming a joint implant assembly, the fixation member slidingly and matingly engaging the fixation member receiving channel in a grooved arrangement, wherein, when the fixation member is received into the fixation member receiving channel, the fixation member extends outward from the external surface of the joint implant and extends a portion of the length.

Abstract: A system for fixating a dysfunctional sacroiliac joint for SI joint fusion, the system including a sacroiliac joint implant and a delivery tool configured for approaching a sacroiliac joint. The system may include an implant having a porous 3D matrix structure and may be manufactured by laser or electron beam additive manufacturing. The delivery tool may include a radiolucent material. The SI fusion system may further include custom sacroiliac joint implants, anchors, alignment tools or targeting arms manufactured for a particular patient. Pre-surgical imaging studies, including 3D rendering, and their interpretation may assist in planning desired trajectories, anchor dimensions and implant dimensions and may provide details specific to the manufacture of particular sacroiliac joint tools or implants and their implantation into the sacroiliac joint. The system may be configured for use with surgical robots and may include an integrated nerve monitoring and stimulation system.

Abstract: A method of fusing a sacroiliac joint including implanting a joint implant into the sacroiliac joint such that the joint implant passes through an inferior boundary segment, the joint implant having an implanted position in the sacroiliac joint such that a portion of a body of the joint implant is positioned within a caudal portion of the sacroiliac joint. The method may include accessing the sacroiliac joint via a presacral surgical pathway having an entry point near the coccyx while being protected by an inflatable bowel retractor.

Abstract: A method of fusing a sacroiliac joint including implanting a joint implant into the sacroiliac joint such that the joint implant passes through a cranial access region, the joint implant having an implanted position in the sacroiliac joint such that a portion of a body of the joint implant is positioned within a cranial portion of the sacroiliac joint.

Abstract: A method of fusing a sacroiliac joint including implanting a joint implant into the sacroiliac joint such that the joint implant passes through a posterior-inferior access region, the joint implant having an implanted position in the sacroiliac joint such that a portion of the joint implant is positioned within a caudal portion of an articular plane of the sacroiliac joint.

Abstract: A method of fusing a sacroiliac joint including implanting a joint implant into the sacroiliac joint such that the joint implant passes through an inferior boundary segment, the joint implant having an implanted position in the sacroiliac joint such that a portion of a body of the joint implant is positioned within a caudal portion of the sacroiliac joint. The method may include accessing the sacroiliac joint via a presacral surgical pathway having an entry point near the coccyx while being protected by an inflatable bowel retractor.

Abstract: A method of fusing a sacroiliac joint including: a) approaching a posterior aspect of a sacroiliac joint space with a joint implant including a body extending a length between a distal end and a proximal end; and b) delivering the joint implant into the sacroiliac joint space such that the joint implant passes through an access region defined between a posterior superior iliac spine and a posterior inferior iliac spine, the joint implant being oriented in the sacroiliac joint space such that a portion of the body of the joint implant is positioned within a joint plane of the sacroiliac joint space, and such that the distal end of the joint implant is positioned posteriorly of an anterior boundary of the sacroiliac joint space.

Abstract: A method of surgically preparing a sacroiliac joint comprising: a) approaching a sacroiliac joint space with a joint preparation tool comprising a cutting element including an exterior having an asymmetric cutting band such that the first side includes a first surface having a first texture and the second side includes a second surface having a second texture, the first and second textures being different such that the first texture is substantially smoother than the second texture; and b) delivering at least a portion of the cutting element non-transversely into the sacroiliac joint space for decortication, the cutting element being oriented in the sacroiliac joint space such that the first surface opposes the generally softer sacrum and the second surface opposes the generally harder ilium in order to more aggressively prepare the surface of the ilium while not over-preparing the sacrum to provide a robust biologic environment for intra-articular fusion.

Abstract: A method of treating a sacroiliac joint including: approaching the sacroiliac joint with an implant including a sensor supported by a body; delivering the implant either a) non-transversely into the sacroiliac joint, b) transversely across the sacroiliac joint, or c) up to the sacroiliac joint without insertion therein, the sensor providing a signal that indicates a present condition of the sacroiliac joint; receiving an input from a sensory indicator based on the signal from the sensor, the sensory indicator being in communication with the sensor, and wherein the input from the sensory indicator provides data associated with the signal; and, treating an ailment of the sacroiliac joint based at least in part on the input.

Abstract: A spinal stabilization system and method are provided for treating a patient's spinal column, for maintaining preselected spacing and movement between adjacent vertebrae in a spinal column, and for providing overall stability thereto. The system includes an interlaminar member positioned in the space intermediate a first vertebra and the vertebrae positioned immediately below and adjacent to the first vertebra. The interlaminar member is operatively connected to an adjustable support structure and cooperates therewith to maintain the preselected spacing between adjacent vertebrae and to provide overall stability to the spinal column.

Abstract: Systems for and methods of fusing a sacroiliac joint are provided which may include an implant adapted to be inserted into the joint space defined by the bones of a sacrum and an ilium and a delivery tool for inserting the implant into the sacroiliac joint. The method may include delivering the implant into the SI joint in a first position and transitioning the implant from the first position to a second position in situ. The implant may be configured such that in the second position the implant generally mimics a shape of the joint space of the sacroiliac joint. The implant may further include an actuation mechanism configured to cause the implant to transition from the first position to the second position. The actuation mechanism may include a hydraulic, pneumatic, geared or screwed mechanical arrangement.

Abstract: A system for fixating a dysfunctional sacroiliac joint for SI joint fusion, the system including a sacroiliac joint implant, a sacroiliac joint screw or rod and a delivery tool configured for approaching a sacroiliac joint. The system may include an implant having a porous 3D matrix structure and may be manufactured by laser or electron beam additive manufacturing. The delivery tool may include a radiolucent material. The SI fusion system may further include custom sacroiliac joint implants, anchors, alignment tools or targeting arms manufactured for a particular patient. Pre-surgical imaging studies, including 3D rendering, and their interpretation may assist in planning desired trajectories, anchor dimensions and implant dimensions and may provide details specific to the manufacture of particular sacroiliac joint tools or implants and their implantation into the sacroiliac joint. The system may be configured for use with surgical robots and may include an integrated nerve monitoring and stimulation system.

Abstract: A surgical preparation tool for preparing a sacroiliac joint for a surgical procedure comprising a trial tool assembly and a cutting tool configured to releasably and slidably couple with the trial tool assembly, wherein the trial tool assembly is configured to guide the cutting tool during distal-proximal translation such that as the cutting tool distally advances relative to an implant trial of the trial tool assembly, at least a portion of a cutting element of the cutting tool extends generally over and perpendicularly outward from a first top surface of a body of the implant trial.

Abstract: A system for fixating a dysfunctional sacroiliac joint for SI joint fusion, the system including a sacroiliac joint implant, a sacroiliac joint screw or rod and a delivery tool configured for approaching a sacroiliac joint. The system may include an implant having a porous 3D matrix structure and may be manufactured by laser or electron beam additive manufacturing. The delivery tool may include a radiolucent material. The SI fusion system may further include custom sacroiliac joint implants, anchors, alignment tools or targeting arms manufactured for a particular patient. Pre-surgical imaging studies, including 3D rendering, and their interpretation may assist in planning desired trajectories, anchor dimensions and implant dimensions and may provide details specific to the manufacture of particular sacroiliac joint tools or implants and their implantation into the sacroiliac joint. The system may be configured for use with surgical robots and may include an integrated nerve monitoring and stimulation system.

Abstract: An orthopedic anchoring system for attaching a spinal stabilization system and concomitantly fusing a sacroiliac joint is disclosed that includes a delivery tool and an implant assembly for insertion into a joint space of a sacroiliac joint. The implant assembly may be secured using anchors inserted through bores within the implant body and into the underlying sacrum and/or ilium. The implant body may also include an attachment fitting reversibly attached to a guide to provide attachment fittings for elements of the spinal stabilization system. The implant assembly may be releasably coupled to an implant arm of the delivery tool such that the implant arm is substantially aligned with the insertion element of the implant assembly. An anchor arm used to insert the anchor may be coupled to the implant arm in a fixed and nonadjustable arrangement such that the anchor is generally aligned with a bore within the implant assembly.

Abstract: An orthopedic anchoring system for attaching a spinal stabilization system and concomitantly fusing a sacroiliac joint is disclosed that includes a delivery tool and an implant assembly for insertion into a joint space of a sacroiliac joint. The implant assembly may be secured using anchors inserted through bores within the implant body and into the underlying sacrum and/or ilium. The implant body may also include an attachment fitting reversibly attached to a guide to provide attachment fittings for elements of the spinal stabilization system. The implant assembly may be releasably coupled to an implant arm of the delivery tool such that the implant arm is substantially aligned with the insertion element of the implant assembly. An anchor arm used to insert the anchor may be coupled to the implant arm in a fixed and nonadjustable arrangement such that the anchor is generally aligned with a bore within the implant assembly.

Abstract: A method of fusing a dysfunctional sacroiliac joint with an additively manufactured joint implant comprising a plurality of openings extending from a top surface into an inner portion of the joint implant via a plurality of channels, and an orifice extending from an exterior surface of the proximal end into the inner portion, wherein the orifice is in fluid communication with the plurality of channels via the inner portion; delivering the joint implant into the sacroiliac joint space through an access region and injecting an amount of biocompatible material at an initial stage of an injection process into the inner portion via the orifice and with a delivery tool; and, at a subsequent stage of the injection process the amount of biocompatible material moves from the inner portion through the plurality of channel via a second path and into the sacroiliac joint space immediately adjacent a top surface.

Abstract: Aspects of the present disclosure involve a method of diagnosing and treating a sacroiliac joint of a patient comprising: a) delivering a first member into the ilium via a first posterior approach; b) delivering a second member into the sacrum via a second posterior approach; and c) diagnosing an ailment of the sacroiliac joint by: manipulating the first member relative to the second member; or identifying joint movement via a sensor positioned in or near the sacroiliac joint.