Minimally Invasive Sacroiliac Joint Fusion

Overview

The sacroiliac (SI) joint is a common but underrecognized source of continuing back pain in patients who have surgical fusions for the treatment of back pain. 

Research has established that the SI joint is the source of pain in nearly half of patients who experience new or continued low back pain after fusion surgery. 

Persistent abnormal motion in the SI joint can lead to premature degenerative changes. 

The diagnosis of SI joint dysfunction requires an extensive patient history and comprehensive physical examination. Physical evaluation combines the flexion, abduction and external rotation (FABER) test and a posterior superior iliac spine (PSIS) distraction test.

The sacroiliac (SI) joint is a common but underrecognized source of continuing back pain in patients who have surgical fusions for the treatment of back pain. Research has established that the SI joint is the source of pain in nearly half of patients who experience new or continued low back pain after fusion surgery.

Persistent abnormal motion in the SI joint can lead to premature degenerative changes. 

The SI fusion system follows the principles of arthrodesis: aggressive joint preparation, enhanced compression and stability. 

Diagnosing SI joint pain includes a physical exam of the SI joint, spine, hips and pelvis, provocative tests, and diagnostic injections.

First line treatment for SI joint dysfunction consists of nonoperative management, such as physical therapy, an SI joint belt, injections and anti-inflammatory medication. SI joint fusion surgery is considered only after those options have been exhausted.

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8501 Wade Blvd Suite 1340
Frisco, TX 75034

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600 East Taylor Street Suite 308
Sherman, TX 75090

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