Sacroiliac (SI) joint Fusion for SI joint dysfunction and Pain

55 year old lady complained of chronic low back radiating to left buttock pain for 6 years. Her pain was so severe that it didn't even allow her to roll in bed or climb up stairs without discomfort. Her life was clearly limited due to this pain.

 

A clinical diagnosis of SI joint dysfunction was made. Not having relief after two SI joint injections, she was advised Minimally invasive (MIS) SI joint fusion surgery.

Patient had good pain relief after the surgery and got back to her normal life within a few weeks.

SI Joint dysfunction can be a cause of back pain in upto 23% patients suffering from chronic low back pain.

 

Peculiar about SI joint dysfunction is that none of the imaging modalities may reveal any abnormality in SI joint and the diagnosis is based on clinical judgement and diagnostic pain blocks.

MIS SI joint fusion is done through a 3 cm incision in the buttock area. In carefully selected patients, this procedure  can give gratifying results.

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