Abstract
Surgical interventions to treat sacroiliac joint (SIJ) dysfunction have changed over time with advancements in medicine and surgery. In the early twentieth century, surgery to treat the SIJ often required invasive procedures resulting in significant tissue disruption and severe scarring. Long periods of immobilization were required and time frames until complete recovery were uncertain. Today, surgical options include minimally invasive procedures and instrumentation leading to SIJ fusion. These approaches and techniques minimize tissue disruption, immobilization, and recovery time. Little agreement exists, considering the uniqueness of each patient and presentation, as to which approach, surgical technique, and instrumentation placement are optimal.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Mens JM, Damen L, Snijders CJ, Stam HJ. The mechanical effect of a pelvic belt in patients with pregnancy-related pelvic pain. Clin Biomech (Bristol, Avon). 2006;21:122–7.
Vleeming A, Buyruk HM, Stoeckart R, et al. An integrated therapy for peripartum pelvic instability: a study of the biomechanical effects of pelvic belts. Am J Obstet Gynecol. 1992;166:1243–7.
Harrison RA, Hillman M, Bulstrode S. Loading of the lower limb when walking partially immersed: implications for clinical practice. Physiotherapy. 1992;78(3):64–167.
van Wingerden JP, Vleeming A, Buyruk HM, et al. Stabilization of the sacroiliac joint in vivo: verification of muscular contribution to force closure of the pelvis. Eur Spine J. 2004;13:199–205.
Hungerford B, Gilleard W, Hodges P. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine. 2003;28(14):1593–600.
Richardson CA, Snijders CJ, Hides JA, et al. The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain. Spine (Phila Pa 1976). 2002;27:399–405.
Hodges PW, Sapsford R, Pengel LH. Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn. 2007;26:362–71.
Sapsford RR, Hodges PW. Contraction of the pelvic floor muscles during abdominal manoeuvres. Arch Phys Med Rehabil. 2001;82:1081–8.
O’Sullivan PB, Beales DJ, Beetham JA, et al. Altered motor control strategies in subjects with sacroiliac joint pain during the active straight-leg-raise test. Spine (Phila Pa 1976). 2002;27:E1–8.
Pel JJ, Spoor CW, Pool-Goudzwaard AL, et al. Biomechanical analysis of reducing sacroiliac joint shear load by optimization of pelvic muscle and ligament forces. Ann Biomed Eng. 2008;36:415–24.
Pool-Goudzwaard AL, Hoek van Dijke GA, van Gurp M, Mulder P, Snijders CJ, Stoeckart R. Contribution of pelvic floor muscles to stiffness of the pelvic ring. Clin Biomech. 2004;19:564–71.
Egund N, Olsson TH, Schmid H, Selvik G. Movements in the sacroiliac joints demonstrated with roentgen stereophotogrammetry. Acta Radiol Diagn. 1978;19:833–46.
Sturesson B, Uden A, Vleeming A. A radiostereometric analysis of movements of the sacroiliac joints during the standing hip flexion test. Spine. 2000;25(3):364–8.
Weisl H. The movements of the sacro-iliac joint. Acta Anat. 1955;23:80–91.
Kissling RO, Jacob HA. The mobility of the sacroiliac joint in healthy subjects. Bull Hosp Jt Dis. 1996;54(3):158–64.
Vleeming A, Stoeckart R, Volkers AC, et al. Relation between form and function in the sacroiliac joint. Part I: clinical anatomical aspects. Spine (Phila Pa 1976). 1990;15:130–2.
Kiapour A, Abdelgawad AA, Goel VK, et al. Relationship between limb length discrepancy and load distribution across the sacroiliac joint – a finite element study. J Orthop Res. 2012;30:1577–80.
Vleeming A, van Wingerden JP, Snijders CJ, et al. Load application to the sacrotuberous ligament; influences of sacroiliac joint mechanics. Clin Biomech. 1989;4(4):204–9.
Mooney V, Pozos R, Vleeming A, et al. Exercise treatment for sacroiliac pain. Orthopedics. 2001;24:29–32.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Rahl, M.D. (2015). Postsurgical Rehabilitation. 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_14
Download citation
DOI: https://doi.org/10.1007/978-3-319-10726-4_14
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-10725-7
Online ISBN: 978-3-319-10726-4
eBook Packages: MedicineMedicine (R0)