SURGEON-LED
PML SI FUSION TRAINING
8 Modules
complete curriculum
~6 Hours
didactic + cadaver Demo
1 on 1
access to Dr. O
10-25x
Eligible Physicians
For physicians seeking a safe, reproducible posterior SI fusion technique that improves outcomes and grows their practice.
A New Standard in Surgical Education
A side-by-side evaluation of academic fellowship programs and the new private standard in online and in-person surgical education.
Each module is designed to blend anatomy, imaging, surgical technique, and post-op care with reproducible instruction to ensure mastery.
A reproducible, FDA-cleared posterior approach with smaller incisions, faster recovery, and proven outcomes.
1–1.5cm Incision
Single 1–1.5 cm posterior midline incision versus two incisions in traditional bilateral SI fusion — minimal access, no muscle stripping.
No Weight-Bearing Restrictions
Immediate full weight-bearing post-surgery — compared to 4–6 weeks of partial weight-bearing in traditional approaches.
<10 cc Blood Loss
Extremely low intraoperative blood loss achieved by avoiding the superior gluteal artery, compared to traditional SI fusion.
6-8 Week Recovery
Faster recovery than lateral or oblique approaches, with no post-operative pain when lying on the surgical side — unlike conventional techniques.
Near 0% Infection Rate
Midline approach with minimal soft-tissue exposure lowers infection risk.
30–45 Minute Procedure
Efficient operative time with a reproducible fluoroscopic workflow with shortened OR time compared to the conventional technique.
Avoids the Superior Gluteal Artery
PML is the only posterior SI fusion technique that fully avoids the superior gluteal artery, significantly reducing the risk of vascular injury or unexpected blood loss.
Allows Longer, 3D Transfixing Screws
PML places no anterior corridor restrictions—allowing 3D transfixing screws from 45 mm up to 110 mm through the anterior SI joint into the iliac teardrop for stronger fixation.
Seamless Integration with Lumbar Constructs
PML is the only SI fusion technique that allows direct connection to existing or future lumbar fusion constructs — enabling streamlined revision workflows and long-term construct continuity without added surgical complexity.
Increased Reimbursement Potential
PML SI fusion enhances case value in combined lumbar and deformity surgeries by supporting higher reimbursement opportunities due to its integration with complex spinal construct procedures.
Pathways to mastery
Choose the learning pathway that aligns with your practice and schedule.
What’s Included:
What’s Included:
Online Masterclass:
In-Person Cadaver Lab
Hear directly from patients who've experienced life changing relief from the PML technique.






PML MASTERY CERTIFICATE









