3 Typical SI Fusion Patient… Symptoms:Low back painButtock and hip painIpsilateral LE weaknessLE numbness and tinglingTrouble sleepingLeg instabilityProblems sitting
4 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.
5 Diagnosis…Clinical testsImaging studies (x-ray. CT scan, MRI)SI joint injections of a local anesthetic
6 Other treatment options Physical therapyChiropractic manipulationsPain medicationInjection therapy
24 References"Minimally Invasive Sacroiliac Joint Surgery." MIS Sacroiliac Joint Fusion Surgery. SI-BONE, n.d. Web. 08 AprMoed, 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 ). Elsevier B. V.Moore MD, M.R. (2012, January ). The Sacroiliac Joint: A Forgotten Pain Generator. The SI-BONE Sentinel, 1-2.