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01-09-2012 | Review Article

Sacroiliac joint pain after lumbar/lumbosacral fusion: current knowledge

Author: Hiroyuki Yoshihara

Published in: European Spine Journal | Issue 9/2012

Abstract

Recently, the sacroiliac joint (SIJ) has gained increased attention as a source of persistent or new pain after lumbar/lumbosacral fusion. The underlying pathophysiology of SIJ pain may be increased mechanical load, iliac crest bone grafting, or a misdiagnosis of SIJ syndrome. Imaging studies show more frequent degeneration of the SIJ in patients with lumbar/lumbosacral fusion than in patients without such fusion. Using injection tests, it has been shown that SIJ pain is the cause of persistent symptoms in a considerable number of patients after fusion surgery. Recent articles reporting on surgical outcomes of SIJ fusion include a high percentage of patients who had lumbar/lumbosacral fusion or surgery before, although well-controlled clinical studies are necessary to assess the efficacy of surgical treatment. Taking these findings into consideration, the possibility that the SIJ is the source of pain should be considered in patients with failed back surgery syndrome after lumbar/lumbosacral fusion.

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Title: Sacroiliac joint pain after lumbar/lumbosacral fusion: current knowledge
Author: Hiroyuki Yoshihara
Publication date: 01-09-2012
Publisher: Springer-Verlag
Published in: European Spine Journal / Issue 9/2012
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-012-2350-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Sacroiliac joint pain after lumbar/lumbosacral fusion: current knowledge

Abstract

Keynote webinar | Spotlight on medication adherence

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