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Sacroiliac Joint Dysfunction

  • Vinko Zlomislic
  • Steven R. GarfinEmail author
Chapter

Abstract

The contribution of the sacroiliac (SI) joint to low back pain is becoming increasingly recognized. Several studies have demonstrated that in patients presenting with low back pain, up to 25% may have pain that implicates the SI joint. Additionally, patients who undergo spinal fusion may have an increased rate of SI joint degeneration, further contributing to complaints of low back and referred lower extremity pain. Recognition of the SI joint as a contributor to low back pain does involve a paradigm shift for the spine surgeon. The goal of this chapter is to:
  • Establish an understanding of the anatomy and mechanics of SI joint function and pathology

  • Discuss clinical history and relevant physical exam and imaging findings

  • Review diagnostic criteria and nonsurgical management options

  • Outline a treatment algorithm and provide effective Minimally Invasive (MIS) Surgical treatment options

Numerous prospective, randomized studies have demonstrated dramatic improvement in clinical outcomes scores utilizing MIS surgical options compared to standard nonsurgical management in the treatment of recalcitrant SI joint pain. Although referred SI joint pain patterns may be complex, understanding the role of the SI joint in the contribution to low back pain will allow for effective treatment options and improved patient outcomes.

Keywords

Low back pain SI joint pain SI joint dysfunction Sacroiliac joint Minimally Invasive (MIS) SI fusion 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryUniversity of California, San DiegoSan DiegoUSA

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