- Dedication
- Preface
- Contributors
- Chapter 1 History and Examination of the Spine
- Chapter 2 Clinical Imaging of the Spine
- Chapter 3 Behavioral Assessment of the Spine Patient
- Chapter 4 Cervical Disc Disease and Extremity Pain
- Chapter 5 Cervical Facet Dysfunction
- Chapter 6 Cervical Spinal Stenosis
- Chapter 7 Cervical Spine Trauma
- Chapter 8 Degenerative Conditions of the Cervical Spine
- Chapter 9 Thoracic Disc Disease
- Chapter 10 Thoracic Facet Dysfunction/Costotransverse Joint Pathology
- Chapter 11 Thoracic Spinal Stenosis
- Chapter 12 Intercostal Neuralgia and Thoracic Radiculopathy
- Chapter 13 Lumbar Disc Disorders
- Chapter 14 Lumbar Facet Arthropathy
- Chapter 15 Lumbar Spondylolisthesis
- Chapter 16 Lumbar Spinal Stenosis
- Chapter 17 Lumbar Radiculopathy and Radicular Pain
- Chapter 18 Surgical Approaches for Degenerative Lumbar Stenosis
- Chapter 19 Sacroiliac Joint Dysfunction
- Chapter 20 Sacroiliac Joint Fusion: Percutaneous and Open
- Chapter 21 Spinal Deformity and Scoliosis
- Chapter 22 Approaches and Relative Benefits of Open Versus Minimally Invasive Surgery for Degenerative Conditions
- Chapter 23 Spinal Tumors: Surgical Considerations and Approaches
- Chapter 24 Pelvic Pain and Floor Dysfunction
- Chapter 25 Core Strengthening
- Chapter 26 Ultrasound-Guided Spine Interventions
- Chapter 27 Biologic and Regenerative Therapies
- Chapter 28 Platelet-Rich Plasma Injections
- Chapter 29 Opioids in Spine Pain: Indications, Challenges, and Controversies
- Chapter 30 Sympathetic Blockade of the Spine
- Chapter 31 Post Spine Surgery Syndrome
- Chapter 32 Intrathecal Pumps
- Chapter 33 Spinal Cord Stimulation
- Chapter 34 Peripheral Nerve Stimulation
- Index
(p. 379) Sacroiliac Joint Fusion: Percutaneous and Open
- Chapter:
- (p. 379) Sacroiliac Joint Fusion: Percutaneous and Open
- Author(s):
Daraspreet Singh Kainth
, Karanpal Singh Dhaliwal
, and David W. Polly
- DOI:
- 10.1093/med/9780199350940.003.0020
Sacroiliac joint (SIJ) pain is the source of back pain in up to 25% of patients presenting with back pain. There is significant individual variation in the anatomy of the sacrum and the lumbosacral junction. SIJ pain is diagnosed with the history and physical examination. SIJ injection of a local anesthetic along with steroids is often used to confirm the diagnosis. Nonoperative treatment includes nonsteroidal anti-inflammatories, physical therapy, joint manipulation therapies, and SIJ injections. SIJ pain can also be successfully treated with radiofrequency ablation in some patients. Surgical treatment includes the open anterior sacroiliac joint fusion technique and minimally invasive techniques. The benefits of minimally invasive SIJ fusion versus open surgery include less blood loss, decreased surgical time, and shorter hospital stay. Further studies are needed to determine the long-term durability of the minimally invasive surgical techniques.
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- Dedication
- Preface
- Contributors
- Chapter 1 History and Examination of the Spine
- Chapter 2 Clinical Imaging of the Spine
- Chapter 3 Behavioral Assessment of the Spine Patient
- Chapter 4 Cervical Disc Disease and Extremity Pain
- Chapter 5 Cervical Facet Dysfunction
- Chapter 6 Cervical Spinal Stenosis
- Chapter 7 Cervical Spine Trauma
- Chapter 8 Degenerative Conditions of the Cervical Spine
- Chapter 9 Thoracic Disc Disease
- Chapter 10 Thoracic Facet Dysfunction/Costotransverse Joint Pathology
- Chapter 11 Thoracic Spinal Stenosis
- Chapter 12 Intercostal Neuralgia and Thoracic Radiculopathy
- Chapter 13 Lumbar Disc Disorders
- Chapter 14 Lumbar Facet Arthropathy
- Chapter 15 Lumbar Spondylolisthesis
- Chapter 16 Lumbar Spinal Stenosis
- Chapter 17 Lumbar Radiculopathy and Radicular Pain
- Chapter 18 Surgical Approaches for Degenerative Lumbar Stenosis
- Chapter 19 Sacroiliac Joint Dysfunction
- Chapter 20 Sacroiliac Joint Fusion: Percutaneous and Open
- Chapter 21 Spinal Deformity and Scoliosis
- Chapter 22 Approaches and Relative Benefits of Open Versus Minimally Invasive Surgery for Degenerative Conditions
- Chapter 23 Spinal Tumors: Surgical Considerations and Approaches
- Chapter 24 Pelvic Pain and Floor Dysfunction
- Chapter 25 Core Strengthening
- Chapter 26 Ultrasound-Guided Spine Interventions
- Chapter 27 Biologic and Regenerative Therapies
- Chapter 28 Platelet-Rich Plasma Injections
- Chapter 29 Opioids in Spine Pain: Indications, Challenges, and Controversies
- Chapter 30 Sympathetic Blockade of the Spine
- Chapter 31 Post Spine Surgery Syndrome
- Chapter 32 Intrathecal Pumps
- Chapter 33 Spinal Cord Stimulation
- Chapter 34 Peripheral Nerve Stimulation
- Index