Assessment of the development of sacroiliitis after lumbarsurgeries | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 3, March 2025, Page 135-140 PDF (561.46 K) | ||||
| Document Type: Original Article | ||||
| DOI: https://doi.org/10.21608/aimj.2025.446476 | ||||
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| Authors | ||||
Abd El-Halim Abd-Elrazek Mousa1; Mohammad Abdulaziz Albialy2; Mohammed Othman Ali Ali  3
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| 1Professor of Neurosurgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
| 2Lecturer of Neurosurgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
| 3MBBCh., Resident doctor of Neurosurgery, Al-Azhar University, Cairo, Egypt. | ||||
| Abstract | ||||
| Background: One postoperative consequence that keeps patients from being satisfied following surgery is sacroiliac pain, which happens after lumbar surgeries. Aim and objectives: To better understand the incidence of sacroiliac joint dysfunction after lumbar surgeries. Patients and methods: Patients who had lumbar surgeries were the subjects of this prospective and retrospective investigation. Every case was operated on at the hospitals of Al-Azhar University. Results: As regard Type of Pain, it was Left SIJ radiating to buttocks in 15(41.7%) patients, Right SIJ radiating to buttocks in 8(22.2%) patients, Bilateral SIJs radiating to buttocks in 10(27.8%) patients, Bilateral SIJs & lower lumbar region in 1(2.8%) patient, and Left SIJ, lower lumbar, and upper lumbar in 3(8.3%) patients of patients with SIJ dysfunction. Regarding SIJ dysfunction in imaging, it was found in 9(9%) patients. All patients studied had positive results from at least one clinical provocation test: 34(34%), 32(32%), 26(26%), and 34(34%) for the sacral thrust test, Patrick test, Yeoman test, and compression test. Conclusion: Lumbar fusion surgeries may change the biomechanics of the spine, which increases the risk of SIJ dysfunction, which is the major causes of post-operative back discomfort. | ||||
| Keywords | ||||
| Assessment; development; Sacroiliitis; Lumbar surgeries | ||||
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