Skip to main content
SpringerLink
Log in

Pathology of the Sacroiliac Joint Leading to Surgery

  • Chapter
  • First Online:
Surgery for the Painful, Dysfunctional Sacroiliac Joint

  • 1168 Accesses

Abstract

The following chapter will discuss the pathological conditions and diagnoses that were present preoperatively in patients that subsequently were satisfied with their results, long term, after having a sacroiliac joint (SIJ) fusion. The importance of a correct diagnosis will be emphasized as well as considerations for the differential diagnosis. The reader should keep in mind that frequently pathology in the SIJ causing chronic debilitating pain does not stand-alone. Many times the same pathology affecting the SIJ can be present in other joints as well to include the lumbar spine. This is certainly true with some arthritic conditions. This is not a complete list, and other pathological conditions do exist and will need to be added as experience with them develops. The three types of pathology that will not be discussed in this chapter are acute trauma, active infection, and conditions involving tumors. These are acute and frequently unstable conditions that fall more in the category of trauma surgery. The pathology discussed in this chapter involves essentially stable SIJs in a chronic pain setting.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Dreyfuss P, Michaelsen M, Pauza K, McLarty J. The value of medical history and physical in diagnosing sacroiliac joint pain. Spine. 1996;21:2594–602.

    Article  CAS  PubMed  Google Scholar 

  2. Fortin JD, Dwyer AP, West S. Sacroiliac joint pain referral maps upon applying a new injection/arthrography technique, part I. Spine. 1994;19:1475–82.

    Article  CAS  PubMed  Google Scholar 

  3. Fortin JD, Aprill CN, Ponthieux B. Sacroiliac joint pain referral maps upon applying a new injection/arthrography technique, part II. Spine. 1994;19:1483–9.

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  6. Onsel C, Collier BD, Kir KM, Larson SJ. Increased sacroiliac joint uptake after lumbar fusion and/or laminectomy. Clin Nucl Med. 1992;17(4):283–7.

    Article  CAS  PubMed  Google Scholar 

  7. Kharrazi FD, Rodgers WB, Kennedy JG, Lhowe DW. Parturition induced pelvic dislocation: a report of four cases. J Orthop Trauma. 1997;11:277–82.

    Article  CAS  PubMed  Google Scholar 

  8. Vleeming A, Buyruk HM, Stoeckart R, Karamursel S, Snijders CJ. An integrated therapy for peripartum pelvic instability: a study of the biomechanical effects of pelvic belts. Am J Obstet Gynecol. 1992;166:1243–7.

    Article  CAS  PubMed  Google Scholar 

  9. Zelle BA, Gruen GS, Brown S, George S. Sacroiliac joint dysfunction: evaluation and management. Clin J Pain. 2005;21:446–55.

    Article  PubMed  Google Scholar 

  10. Albert H, Godskesen M, Westergaard J. Prognosis in four syndromes of pelvic related pain. Acta Obstet Gynecol Scand. 2001;80:505–10.

    Article  CAS  PubMed  Google Scholar 

  11. Berg G, Hammar M, Moller-Nielsen J. Low back pain during pregnancy. Obstet Gynecol. 1988;71:71–5.

    CAS  PubMed  Google Scholar 

  12. Ebraheim NA, Elgafy H, Semaan HB. Computed tomographic findings in patients with persistent sacroiliac pain after posterior iliac graft harvesting. Spine. 2000;25:2047–51.

    Article  CAS  PubMed  Google Scholar 

  13. Frymoyer JW, Hanley E, Howe J. Disc excision and spine fusion in the management of lumbar disc disease: a minimum ten year follow-up. Spine. 1978;3:1–6.

    Article  CAS  PubMed  Google Scholar 

  14. Konin GP, Walz DM. Lumbosacral transitional vertebrae: classification, imaging findings and clinical relevance. AJNR Am J Neuroradiol. 2010;31(10):1778–86. doi:10.3174/ajnr.A2036. A review article. Electronic publication.

    Article  CAS  PubMed  Google Scholar 

  15. Castellvi AE, Goldstein LA, Chan DP. Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects. Spine. 1984;9:493–5.

    Article  CAS  PubMed  Google Scholar 

  16. Katz V, Schofferman J, Reynolds J. The sacroiliac joint: a potential cause of pain after lumbar fusion to the sacrum. J Spinal Disord Tech. 2003;16:96–9.

    Article  PubMed  Google Scholar 

  17. Frymoyer JW, Howe J, Kuhlmann D. The long-term effects of spinal fusion on the sacroiliac joint and ilium. Clin Orthop. 1978;134:196–201.

    PubMed  Google Scholar 

  18. Fortin JD. Sacroiliac joint dysfunction: a new perspective. J Back Musculoskelet Rehabil. 1993;3:31–43.

    CAS  PubMed  Google Scholar 

  19. LeBlanc KE. Sacroiliac sprain: an overlooked cause of back pain. Am Fam Physician. 1992;46:1459–63.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Neurosurgery of Kalamazoo, Borgess Brain and Spine Institute, 1541 Gull Road, Kalamazoo, MI, 49048, USA

    Bruce E. Dall M.D.

  2. Orthopedic Spine Division, Western Michigan University Medical School, Kalamazoo, MI, USA

    Bruce E. Dall M.D.

  3. Orthopaedic Surgery, Baptist Medical Center – South, 9191 R.G. Skinner Pkwy #103, Jacksonville, FL, 32256, USA

    Arnold Graham Smith M.D., P.A.

Authors
  1. Bruce E. Dall M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Arnold Graham Smith M.D., P.A.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Bruce E. Dall 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

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Dall, B.E., Smith, A.G. (2015). Pathology of the Sacroiliac Joint Leading to Surgery. 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_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-10726-4_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-10725-7

  • Online ISBN: 978-3-319-10726-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation