Skip to main content
SpringerLink
Log in

The Painful Sacroiliac Iliac Joint

  • Chapter
  • First Online:
Minimally Invasive Spine Surgery

  • 2504 Accesses

Abstract

Dysfunction of the sacroiliac (SI) joint is a recognized contributor to axial back pain. In this chapter, we will describe the challenge of making the diagnosis of SI joint dysfunction that may respond positively to surgical management, the relative indications and contraindications for surgical intervention, and the authors’ preferred technique.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Albert H, Godskesen M, Westergaard J. Prognosis in four syndromes of pregnancy-related pelvic pain. Acta Obstet Gynecol Scand. 2001;80:505–10.

    Article  CAS  PubMed  Google Scholar 

  2. Aydin SM, Gharibo CG, Mehnert M, Stitik TP. The role of radiofrequency ablation for sacroiliac joint pain: a meta-analysis. PM R. 2010;2:842–51.

    Article  PubMed  Google Scholar 

  3. Berg G, Hammar M, Moller-Nielsen J, Linden U, Thorblad J. Low back pain during pregnancy. Obstet Gynecol. 1988;71:71–5.

    CAS  PubMed  Google Scholar 

  4. Bowen V, Cassidy JD. Macroscopic and microscopic anatomy of the sacroiliac joint from embryonic life until the eighth decade. Spine (Phila Pa 1976). 1981;6:620–8.

    Article  CAS  Google Scholar 

  5. Brunner C, Kissling R, Jacob HA. The effects of morphology and histopathologic findings on the mobility of the sacroiliac joint. Spine (Phila Pa 1976). 1991;16:1111–7.

    Article  CAS  Google Scholar 

  6. Cohen SP. Sacroiliac joint pain: a comprehensive review of anatomy, diagnosis, and treatment. Anesth Analg. 2005;101:1440–53.

    Article  PubMed  Google Scholar 

  7. Crenshaw A. Surgical approaches. Campbell's operative orthopedics. St. Louis: Mosby Co.; 1992.

    Google Scholar 

  8. Dreyfuss P, Dreyer SJ, Cole A, Mayo K. Sacroiliac joint pain. J Am Acad Orthop Surg. 2004;12:255–65.

    PubMed  Google Scholar 

  9. Dreyfuss P, Dryer S, Griffin J, Hoffman J, Walsh N. Positive sacroiliac screening tests in asymptomatic adults. Spine (Phila Pa 1976). 1994;19:1138–43.

    Article  CAS  Google Scholar 

  10. Dreyfuss P, Michaelsen M, Pauza K, McLarty J, Bogduk N. The value of medical history and physical examination in diagnosing sacroiliac joint pain. Spine (Phila Pa 1976). 1996;21:2594–602.

    Article  CAS  Google Scholar 

  11. Dreyfuss P, Snyder BD, Park K, Willard F, Carreiro J, Bogduk N. The ability of single site, single depth sacral lateral branch blocks to anesthetize the sacroiliac joint complex. Pain Med. 2008;9:844–50.

    Article  PubMed  Google Scholar 

  12. Fortin JD, Dwyer AP, West S, Pier J. Sacroiliac joint: pain referral maps upon applying a new injection/arthrography technique. Part I: asymptomatic volunteers. Spine (Phila Pa 1976). 1994;19:1475–82.

    Article  CAS  Google Scholar 

  13. Fortin JD, Washington WJ, Falco FJ. Three pathways between the sacroiliac joint and neural structures. AJNR Am J Neuroradiol. 1999;20:1429–34.

    CAS  PubMed  Google Scholar 

  14. Geisler F, Polly D, Rudolf L, Graham-Smith A, Halki J, Reckling W, Shamie N, Phillips F, Reiley M. Minimally invasive surgical (MIS) method for simplifying sacroiliac joint arthrodesis. In: 27th annual meeting of the AANS/CNS section on disorders of the spine and peripheral nerves. http://www.spinesection.org/files/pdfs/11DSPN_SP_Interior.pdf. Phoenix; 2011.

  15. Giannoudis PV, Xypnitos FN, Kanakaris NK. Sacroiliac joint fusion practical procedures. In: Giannoudis PVS, editor. Elective orthopaedic surgery. London: Springer; 2012. p. 29–34.

    Chapter  Google Scholar 

  16. Glaser J. Radiographic and surgical outcome of Sacroiliac joint arthrodesis with porous plasma-coated triangular titanium implants: an independent review. In: 99th annual meeting of the Clinical Orthopaedic Society. http://www2.cosociety.org/meetings/2011annual/COS_2011annual_brochure.pdf. Charleston; 2011.

  17. Grob KR, Neuhuber WL, Kissling RO. Innervation of the sacroiliac joint of the human. Z Rheumatol. 1995;54:117–22.

    CAS  PubMed  Google Scholar 

  18. Kampen WU, Tillmann B. Age-related changes in the articular cartilage of human sacroiliac joint. Anat Embryol (Berl). 1998;198:505–13.

    Article  CAS  Google Scholar 

  19. Khurana A, Guha AR, Mohanty K, Ahuja S. Percutaneous fusion of the sacroiliac joint with hollow modular anchorage screws: clinical and radiological outcome. J Bone Joint Surg Br. 2009;91:627–31.

    Article  CAS  PubMed  Google Scholar 

  20. Maigne JY, Boulahdour H, Chatellier G. Value of quantitative radionuclide bone scanning in the diagnosis of sacroiliac joint syndrome in 32 patients with low back pain. Eur Spine J. 1998;7:328–31.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  21. Miller AN, Routt Jr ML. Variations in sacral morphology and implications for iliosacral screw fixation. J Am Acad Orthop Surg. 2012;20:8–16.

    Article  PubMed  Google Scholar 

  22. Polatin PB, Kinney RK, Gatchel RJ, Lillo E, Mayer TG. Psychiatric illness and chronic low-back pain. The mind and the spine—which goes first? Spine (Phila Pa 1976). 1993;18:66–71.

    Article  CAS  Google Scholar 

  23. Routt Jr ML, Simonian PT, Agnew SG, Mann FA. Radiographic recognition of the sacral alar slope for optimal placement of iliosacral screws: a cadaveric and clinical study. J Orthop Trauma. 1996;10:171–7.

    Article  PubMed  Google Scholar 

  24. Schwarzer AC, Aprill CN, Bogduk N. The sacroiliac joint in chronic low back pain. Spine (Phila Pa 1976). 1995;20:31–7.

    Article  CAS  Google Scholar 

  25. Slipman CW, Jackson HB, Lipetz JS, Chan KT, Lenrow D, Vresilovic EJ. Sacroiliac joint pain referral zones. Arch Phys Med Rehabil. 2000;81:334–8.

    Article  CAS  PubMed  Google Scholar 

  26. Slipman CW, Sterenfeld EB, Chou LH, Herzog R, Vresilovic E. The value of radionuclide imaging in the diagnosis of sacroiliac joint syndrome. Spine (Phila Pa 1976). 1996;21:2251–4.

    Article  CAS  Google Scholar 

  27. Smith-Petersen M. Arthrodesis of the sacroiliac joint. A new method of approach. J Bone Joint Surg Am. 1921;3:400–5.

    Google Scholar 

  28. Smith-Petersen M, Rogers WA. End-result study of arthrodesis of the sacro-iliac joint for arthritis—traumatic and non-traumatic. J Bone Joint Surg Am. 1926;8:118–36.

    Google Scholar 

  29. Solonen KA. The sacroiliac joint in the light of anatomical, roentgenological and clinical studies. Acta Orthop Scand Suppl. 1957;27:1–127.

    CAS  PubMed  Google Scholar 

  30. Srejic U, Calvillo O, Kabakibou K. Viscosupplementation: a new concept in the treatment of sacroiliac joint syndrome: a preliminary report of four cases. Reg Anesth Pain Med. 1999;24:84–8.

    CAS  PubMed  Google Scholar 

  31. Sturesson B, Selvik G, Uden A. Movements of the sacroiliac joints. A roentgen stereophotogrammetric analysis. Spine (Phila Pa 1976). 1989;14:162–5.

    Article  CAS  Google Scholar 

  32. Szadek KM, van der Wurff P, van Tulder MW, Zuurmond WW, Perez RS. Diagnostic validity of criteria for sacroiliac joint pain: a systematic review. J Pain. 2009;10:354–68.

    Article  PubMed  Google Scholar 

  33. Vanelderen P, Szadek K, Cohen SP, De Witte J, Lataster A, Patijn J, Mekhail N, van Kleef M, Van Zundert J. 13. Sacroiliac joint pain. Pain Pract. 2010;10:470–8.

    Article  PubMed  Google Scholar 

  34. Wise CL, Dall BE. Minimally invasive sacroiliac arthrodesis: outcomes of a new technique. J Spinal Disord Tech. 2008;21:579–84.

    Article  PubMed  Google Scholar 

  35. Young S, Aprill C, Laslett M. Correlation of clinical examination characteristics with three sources of chronic low back pain. Spine J. 2003;3:460–5.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, CA, USA

    Alan B. C. Dang MD

  2. Department of Orthopaedic Surgery, University of California, San Diego, San Diego, CA, USA

    Alexandra K. Schwartz MD & Steven R. Garfin MD

Authors
  1. Alan B. C. Dang MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alexandra K. Schwartz MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Steven R. Garfin MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA

    Frank Phillips

  2. Scoliosis and Spine Tumor Center, Texas Back Institutes, Texas Health Presbyterian Hospital Plano, Plano, Texas, USA

    Isador Lieberman

  3. Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota, USA

    David Polly

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Dang, A.B.C., Schwartz, A.K., Garfin, S.R. (2014). The Painful Sacroiliac Iliac Joint. In: Phillips, F., Lieberman, I., Polly, D. (eds) Minimally Invasive Spine Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5674-2_22

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-5674-2_22

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-5673-5

  • Online ISBN: 978-1-4614-5674-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation