Sacroiliac joint pain after spinal fusion surgery | ||
| Zagazig University Medical Journal | ||
| Article 32, Volume 30, Issue 1.7, October 2024, Pages 4047-4056 PDF (1.16 M) | ||
| Document Type: Review Articles | ||
| DOI: 10.21608/zumj.2024.260807.3092 | ||
| Authors | ||
| Tarek Elhewala1; Amr Mohamed El-Adawy1; Akram Abduallah Ahmed Alfaghi* 2; Mohammed Hassan Abdellatif1 | ||
| 1Orthopedic Surgery Department, Faculty of Medicine, Zagazig University | ||
| 2Orthopedic Surgery Department, Faculty of Medicine , Gharian University- Libya | ||
| Abstract | ||
| Background context: The sacroiliac joint (SIJ) has drawn more attention lately as a potential cause of chronic or acute discomfort following lumbar/lumbosacral fusion. Misdiagnosis of SIJ syndrome, iliac crest bone grafting, or increased mechanical strain could be the underlying pathophysiology of SIJ pain. Patients with lumbar/lumbosacral fusion exhibit more frequent degeneration of the SIJ compared to those without such fusion, according to imaging studies. Injection studies have demonstrated that in a significant majority of patients following fusion surgery, lingering symptoms are brought on by SIJ pain. A large proportion of patients who underwent prior lumbar/lumbosacral fusion or surgery are included in recent articles discussing the surgical results of SIJ fusion. Aim: The aim of this study is to assess sacroiliac joint pain after lumbosacral fusion. Conclusion: well-controlled clinical trials are required to evaluate the effectiveness of surgical treatment. In light of these findings, patients with failed back surgery syndrome following lumbar/lumbosacral fusion should be evaluated for the possibility that their SIJ is the cause of their discomfort. | ||
| Keywords | ||
| Sacroiliac joint pain; Lumbosacral fixation; Spine surgery; Sacroiliac joint degeneration | ||
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