TYPICAL SI FUSION PATIENT… SYMPTOMS: Low back pain Buttock and hip pain Ipsilateral LE weakness LE numbness and tingling Trouble sleeping Leg instability Problems sitting
SI JOINT AS A CAUSE OF PAIN: 25% of all low back pain is caused by Sacroiliac joint disease. The incidence of SI joint degeneration in post-lumbar fusion surgery is 75% at 5 years post-op. SI joint is a pain generator in low back pain of 43% post- lumbar and lumbar-sacral fusion patients.
Clinical tests Imaging studies (x-ray. CT scan, MRI) SI joint injections of a local anesthetic DIAGNOSIS…
REFERENCES -"Minimally Invasive Sacroiliac Joint Surgery." MIS Sacroiliac Joint Fusion Surgery. SI-BONE, n.d. Web. 08 Apr. 2013. -Moed, B.R. (2008). Monitoring neural function during pelvic surgery. In M.R. Nuwer (Ed.), Intraoperative Monitoring of Neural Function Handbook of Clinical Neurophysiology (vol. 8, pp. 752-763). Elsevier B. V. -Moore MD, M.R. (2012, January ). The Sacroiliac Joint: A Forgotten Pain Generator. The SI-BONE Sentinel, 1-2.