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Sacroiliac Joint Fusion

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Essentials of Spinal Stabilization

Abstract

Sacroiliac joint (SIJ) pathology can be a potential source of low back pain. However, diagnosis of pain coming from the SIJ could not be easily distinguished from pain coming from other sources (such as the spine or hip joint) based on history or imaging alone. No single physical examination test has been shown to be pathognomonic for SIJ pain. Performing a composite of tests adds to the validity of the provocative examinations. Fluoroscopic- or CT-guided injection is currently the accepted reference standard for confirming the diagnosis of SIJ pain. If physical findings and diagnostic injections are consistent with SIJ pathology, nonoperative treatment regimen should be initiated. Surgery can be considered if conservative treatment has failed. Minimally invasive techniques of sacroiliac joint fusion have been predominantly used recently. Multiple prospective studies have demonstrated favorable and durable outcomes of minimally invasive SIJ fusion.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Ave S R200, Minneapolis, MN, 55454, USA

    Sharon C. Yson MD, Jonathan N. Sembrano MD & David W. Polly Jr. MD

Authors
  1. Sharon C. Yson MD
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  2. Jonathan N. Sembrano MD
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  3. David W. Polly Jr. MD
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Corresponding author

Correspondence to Sharon C. Yson MD .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery and Orthopaedics, David Geffen UCLA School of Medicine, Los Angeles, California, USA

    Langston T. Holly

  2. Department of Orthopedics and Rehabilitation, University of Wisconsin UWMF, Madison, Wisconsin, USA

    Paul A. Anderson

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Yson, S.C., Sembrano, J.N., Polly, D.W. (2017). Sacroiliac Joint Fusion. In: Holly, L., Anderson, P. (eds) Essentials of Spinal Stabilization . Springer, Cham. https://doi.org/10.1007/978-3-319-59713-3_32

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  • DOI: https://doi.org/10.1007/978-3-319-59713-3_32

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-59712-6

  • Online ISBN: 978-3-319-59713-3

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