Sacroiliac joint fusion

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Sacroiliac joint (SIJ) pathology can be a potential source of low back pain. However, diagnosis of pain coming from the SIJ could not be easily distinguished from pain coming from other sources (such as the spine or hip joint) based on history or imaging alone. No single physical examination test has been shown to be pathognomonic for SIJ pain. Performing a composite of tests adds to the validity of the provocative examinations. Fluoroscopic- or CT-guided injection is currently the accepted reference standard for confirming the diagnosis of SIJ pain. If physical findings and diagnostic injections are consistent with SIJ pathology, nonoperative treatment regimen should be initiated. Surgery can be considered if conservative treatment has failed. Minimally invasive techniques of sacroiliac joint fusion have been predominantly used recently. Multiple prospective studies have demonstrated favorable and durable outcomes of minimally invasive SIJ fusion.

Original languageEnglish (US)
Title of host publicationEssentials of Spinal Stabilization
PublisherSpringer International Publishing
Pages429-439
Number of pages11
ISBN (Electronic)9783319597133
ISBN (Print)9783319597126
DOIs
StatePublished - Jan 1 2017

Keywords

  • Diagnosis of SIJ pain
  • Minimally invasive
  • SIJ fusion
  • Sacroiliac joint

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