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Surgery for the Painful, Dysfunctional Sacroiliac Joint pp 133–149Cite as

Posterior Inferior Approach, Minimally Invasive

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Abstract

In this chapter, the author describes a new minimally invasive surgical technique for fusing and fixating the sacroiliac joint via a posterior inferior approach. The technique permits minimal muscular and ligamentous disruption while simultaneously permitting direct and extensive cartilage removal and decortication of the articular portion of the joint in order to enhance fusion potential. Subsequent to joint preparation, intra-articular implants are positioned into the joint space and supplemented by percutaneous lateral fixation. Multiple case studies are presented. To serve as a background to the evolution behind the new procedure, the author reports on his personal experience of surgically treating hundreds of painful SIJs with varying techniques along with the results of an open SIJ fusion study presented in the 1990s demonstrating significant improvement of patients’ SIJ pain with long-term follow-up demonstrating durability.

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References

  1. Dreyfuss P, Dreyer SJ, Cole A, Mayo K. Sacroiliac joint pain. J Am Acad Orthop Surg. 2004;12(4):255–65.

    PubMed  Google Scholar 

  2. Young S, Aprill C, Laslett M. Correlation of clinical examination characteristics with three sources of chronic low back pain. Spine J. 2003;3(6):460–5.

    Article  PubMed  Google Scholar 

  3. Schwarzer AC, Aprill CN, Bogduk N. The sacroiliac joint in chronic low back pain. Spine. 1995;20(1):31–7.

    Article  CAS  PubMed  Google Scholar 

  4. DePalma MJ, Ketchum JM, Saullo T. What is the source of chronic low back pain and does age play a role? Pain Med. 2011;12(2):224–33.

    Article  PubMed  Google Scholar 

  5. DePalma MJ, Ketchum JM, Saullo TR. Etiology of chronic low back pain in patients having undergone lumbar fusion. Pain Med. 2011;12(5):732–9.

    Article  PubMed  Google Scholar 

  6. Smith-Petersen MN, Rogers WA. End-result study of arthrodesis of the sacroiliac joint for arthritis—traumatic and non-traumatic. J Bone Joint Surg. 1926;8(1):118–36.

    Google Scholar 

  7. Vanelderen P, Szadek KM, Cohen SP, Witte J, Lataster A, Patijn J, et al. Sacroiliac joint pain. Pain Pract. 2010;10(5):470–8.

    Google Scholar 

  8. Lippitt AB. Percutaneous fixation of the sacroiliac joint. In: Vleeming A, editor. Movement, stability, and low back pain: the essential role of the pelvis. New York: Churchill Livingstone; 1997. p. 587–94.

    Google Scholar 

  9. Hansen H, Manchikanti L, Simopoulos TT, Christo PJ, Gupta S, Smith HS, et al. A systematic evaluation of the therapeutic effectiveness of sacroiliac joint interventions. Pain Physician. 2012;15(3):E247–78.

    Google Scholar 

  10. Ho KY, Hadi MA, Pasutharnchat K, Tan KH. Cooled radiofrequency denervation for treatment of sacroiliac joint pain: two-year results from 20 cases. J Pain Res. 2013;6:505–11.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Stelzer W, Aiglesberger M, Stelzer D, Stelzer V. Use of cooled radiofrequency lateral branch neurotomy for the treatment of sacroiliac joint-mediated low back pain: a large case series. Pain Med. 2013;14(1):29–35.

    Article  PubMed  Google Scholar 

  12. Crenshaw AH, Daugherty K, Campbell WC. Campbell's operative orthopaedics. St. Louis: Mosby Year Book; 1992.

    Google Scholar 

  13. Buchowski JM, Kebaish KM, Sinkov V, Cohen DB, Sieber AN, Kostuik JP. Functional and radiographic outcome of sacroiliac arthrodesis for the disorders of the sacroiliac joint. Spine J. 2005;5(5):520–8.

    Article  PubMed  Google Scholar 

  14. Ebraheim NA, Lu J, Biyani A, Yeasting RA. Anatomic considerations of an anterior approach to the sacroiliac joint. Am J Orthop (Belle Mead, NJ). 1996;25(10):697–700.

    CAS  Google Scholar 

  15. Alla SR, Roberts CS, Ojike NI. Vascular risk reduction during anterior surgical approach sacroiliac joint plating. Injury. 2013;44(2):175–7.

    Article  PubMed  Google Scholar 

  16. Atlihan D, Tekdemir I, Ateŝ Y, Elhan A. Anatomy of the anterior sacroiliac joint with reference to lumbosacral nerves. Clin Orthop Relat Res. 2000;376:236–41.

    Article  PubMed  Google Scholar 

  17. Donner EJ, Browne DJ. Sacroiliac joint fusion follow-up study. Presented, 11th annual meeting of the North American Spine Society, Vancouver, October 26, 1996.

    Google Scholar 

  18. Shaffrey CI, Smith JS. Editorial: Stabilization of the sacroiliac joint. Neurosurg Focus. 2013;35.

    Google Scholar 

  19. DeHeer PA, Catoire SM, Taulman J, Borer B. Ankle arthrodesis: a literature review. Clin Podiatr Med Surg. 2012;29(4):509–27.

    Article  PubMed  Google Scholar 

  20. Vleeming A, Schuenke MD, Masi AT, Carreiro JE, Danneels L, Willard FH. The sacroiliac joint: an overview of its anatomy, function and potential clinical implications. J Anat. 2012;221(6):537–67.

    Article  CAS  PubMed  Google Scholar 

  21. D’Lima DD, Hashimoto S, Chen PC, Colwell CWJ, Lotz MK. Human chondrocyte apoptosis in response to mechanical injury. Osteoarthritis Cartilage. 2001;9(8):712–9.

    Article  PubMed  Google Scholar 

  22. D’Lima DD, Hashimoto S, Chen PC, Lotz MK, Colwell CWJ. Cartilage injury induces chondrocyte apoptosis. J Bone Joint Surg Am. 2001;83:19–21.

    Article  PubMed  Google Scholar 

  23. D’Lima DD, Hashimoto S, Chen PC, Lotz MK, Colwell CWJ. In vitro and in vivo models of cartilage injury. J Bone Joint Surg Am. 2001;83:22–4.

    Article  PubMed  Google Scholar 

  24. Ramsey PL, Hamilton W. Changes in tibiotalar area of contact caused by lateral talar shift. J Bone Joint Surg Am. 1976;58(3):356–7.

    CAS  PubMed  Google Scholar 

  25. Berenbaum F, Sellam J. Obesity and osteoarthritis: what are the links? Joint Bone Spine. 2008;75(6):667–8.

    Article  PubMed  Google Scholar 

  26. Zhai G, Cicuttini F, Ding C, Scott F, Garnero P, Jones G. Correlates of knee pain in younger subjects. Clin Rheumatol. 2007;26(1):75–80.

    Article  PubMed  Google Scholar 

  27. Ha KY, Lee JS, Kim KW. Degeneration of sacroiliac joint after instrumented lumbar or lumbosacral fusion: a prospective cohort study over five-year follow-up. Spine. 2008;33(11):1192–8.

    Article  PubMed  Google Scholar 

  28. Ivanov AA, Kiapour A, Ebraheim NA, Goel V. Lumbar fusion leads to increases in angular motion and stress across sacroiliac joint: a finite element study. Spine. 2009;34(5):162–9.

    Article  Google Scholar 

  29. Steinke H, Hammer N, Slowik V, Stadler J, Josten C, Böhme J, et al. Novel insights into the sacroiliac joint ligaments. Spine. 2010;35(3):257–63.

    Google Scholar 

  30. Smith-Petersen MN, Rogers WA. Arthrodesis for tuberculosis of the sacro-iliac joint: Study of the end-results. Jama. 1926;86(1):26–30.

    Google Scholar 

  31. Endres S, Ludwig E. Outcome of distraction interference arthrodesis of the sacroiliac joint for sacroiliac arthritis. Indian Journal of Orthopaedics. 2013;47(5):437–42.

    Google Scholar 

  32. McGuire RA, Chen Z, Donahoe K. Dual fibular allograft dowel technique for sacroiliac joint arthrodesis. Evid Based Spine Care J. 2012;3(3):21–8.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Colorado Spine Institute, 5285 McWhinney Boulevard, Suite 145, Loveland, CO, 80538, USA

    E. Jeffrey Donner M.D.

  2. University of Colorado Health, Medical Center of the Rockies, 2500 Rocky Mountain Avenue, Loveland, CO, 80538, USA

    E. Jeffrey Donner M.D.

Authors
  1. E. Jeffrey Donner M.D.
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Corresponding author

Correspondence to E. Jeffrey Donner M.D. .

Editor information

Editors and Affiliations

  1. Borgess Brain and Spine Institute Western Michigan University School of Medicine, Kalamazoo, Michigan, USA

    Bruce E. Dall

  2. Borgess Brain and Spine Institute Western Michigan University School of Medicine, Kalamazoo, Michigan, USA

    Sonia V. Eden

  3. Full Potenial Physical Therapy, Holland, Michigan, USA

    Michael D. Rahl

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© 2015 Springer International Publishing Switzerland

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Donner, E.J. (2015). Posterior Inferior Approach, Minimally Invasive. In: Dall, B., Eden, S., Rahl, M. (eds) Surgery for the Painful, Dysfunctional Sacroiliac Joint. Springer, Cham. https://doi.org/10.1007/978-3-319-10726-4_12

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  • DOI: https://doi.org/10.1007/978-3-319-10726-4_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-10725-7

  • Online ISBN: 978-3-319-10726-4

  • eBook Packages: MedicineMedicine (R0)

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