CT-/X-Ray-Guided Technique in Sacral Fusion

  • Luigi Manfrè
Part of the New Procedures in Spinal Interventional Neuroradiology book series (NPSIN)


The sacroiliac joint (SIJ) is considered the largest and strongest as well as the best protected joint in the body. Despite this unique anatomical condition, there are several conditions such as joint degeneration, estrogen-dependent ligament relaxation during delivery, as well as iatrogenic causes such as posterior interbody fusion (PIF) that can cause SIJ weakness and pain. One of the characteristics of SIJI is the ambiguous clinical symptom with patients complaining about low back pain (LBP), pelvic and bottom as well as coxofemoral pain, leg numbness, and dizziness, related to the complex neural frameworks of this joint. Despite typical signs can be detected in many patients on neuroradiological examination such as CT and MRI scan and bone scanning, the only affordable test for the correct diagnosis of SIJI remains CT-guided local lidocaine injection. In the past, several techniques have been proposed such as conventional “open” surgery in an attempt to stabilize the SIJ, obtaining sacroiliac arthrodesis using different tools. Recently, however, thanks to the widespread use of CT-guided treatments, new tools have been proposed by industries, obtaining the safest and more precise stabilization of the SIJ, reducing morbidity and after treatment-recovery time, as well as avoiding general anesthesia.

Supplementary material

978-3-319-12901-3_7_MOESM1_ESM.mp4 (297.2 mb)
Video 7.1 (MP4 304343 kb)


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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Department of Minimal Invasive Spine Therapy“Cannizzaro” HospitalCataniaItaly

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