Posterior SI joint fusion

SiLO TFX™

A transfixing SI joint fusion system designed to stabilize the sacrum and ilium through a posterior approach.

  • Posterior approach
  • Single incision site
  • Three points of fixation
Pelvis showing the SiLO TFX implant at the sacroiliac joint

Manufacturer-supplied illustration of SiLO TFX at the SI joint.

Where the pelvis meets the spine

Understanding the sacroiliac joint

The sacroiliac joints sit between the sacrum and the ilium bones on each side of the pelvis. Strong ligaments connect them, and together they help transfer the upper body’s weight through the pelvis.

SI joint pain can be associated with injury to surrounding ligaments, prior spine surgery, differences in leg length or pelvic structure, pregnancy and postpartum changes, infection, inflammation, or ankylosing spondylitis.

A focused evaluation matters

Symptoms from the SI joint can overlap with lumbar spine, hip, and nerve conditions. Physical examination, provocative testing, imaging, and sometimes diagnostic injections may help identify the pain source.

Cutaway illustration of the SiLO TFX system spanning the sacrum and ilium

Aurora illustration showing the posterior transfixing bridge across the SI joint.

Recognizing the pattern

Symptoms that can occur with SI joint pain

These symptoms do not establish a diagnosis. A clinician must determine whether the SI joint or another structure is responsible.

01

Lower back, hip, or buttock pain

Pain may be felt near the lower back, hips, or buttocks and is often more noticeable on one side.

02

Pain into the leg

Symptoms may radiate from the pelvis toward the thighs, knees, or feet.

03

Pain with transitions

Standing up, sitting down, getting out of bed, or getting out of a vehicle may worsen symptoms.

SiLO TFX transfixing bridge and fixation screws

Manufacturer-supplied SiLO TFX product rendering.

The transfixing SI joint fusion system

How SiLO TFX is designed

Aurora describes the SiLO TFX Transfixing Bridge as a titanium-alloy implant with a hollow, conical barrel and lateral openings that allow bone-graft material to promote fusion.

Two holes accept transfixing screws through the sacrum and ilium. Together, the bridge and screws are designed to provide three points of fixation across the joint.

Procedure overview

A posterior approach to SI joint fusion

The supplied material describes a single posterior incision and a construct that bridges the SI joint. Your physician will explain diagnosis, preparation, anesthesia, imaging, graft material, fixation, recovery, alternatives, and risks.

01

Prepare the joint

The joint surfaces are prepared according to the surgical plan.

02

Add graft material

Bone-graft material is placed to support the fusion process.

03

Place the bridge

The transfixing bridge spans the sacrum and ilium.

04

Secure fixation

Two screws create the manufacturer’s three-point construct.

Manufacturer education

See the SiLO TFX procedure

Aurora supplied both a patient animation and a more detailed surgical-technique animation.

Patient animation

A patient-oriented overview of the SiLO procedure.

Surgical-technique animation

A detailed procedural animation supplied by Aurora Spine.

Approved patient resources

Learn more about SiLO TFX

Aurora supplied English and Spanish patient brochures along with its current public product page.

PDF · English

Patient brochure

Download Aurora’s English-language SiLO TFX patient brochure.

PDF · Español

Folleto para pacientes

Descargue el folleto de información para pacientes en español.

Web

Aurora SiLO TFX page

Review Aurora’s current public information about the SiLO TFX system.

Individualized evaluation

Could the SI joint be contributing to your pain?

A focused evaluation can help identify the pain source and clarify whether fusion or another treatment may be appropriate.

Important information

This information is intended to be general and does not represent medical advice or recommendations. Evaluation and examination by a physician are necessary. Aurora’s patient brochure warns that use of the implant has potential limitations; patients should see the package insert for complete information. U.S. law restricts these devices to sale by or on the order of a physician.

Procedures and implants carry risks, and individual results vary. Your physician should explain potential benefits, risks, alternatives, and recovery expectations for your condition.

SiLO and SiLO TFX are trademarks of Aurora Spine. Rx only.