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Sacroiliac Joint Fusion: Percutaneous and Open 

Sacroiliac Joint Fusion: Percutaneous and Open
Chapter:
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
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date: 23 October 2019

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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