Sacroiliac Joint Pain after Lumbo-Sacral Fusion: Incidence and Management Modalities

Background Data: Incidence of sacroiliac dysfunction in a population suffering from low back pain (LBP) after lumbosacral (LS) fusion is unknown. The underlying pathophysiology of SIJ pain may be increased by mechanical load, iliac crest bone grafting, or a misdiagnosis of SIJ syndrome. Purpose: To...

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Autor principal:	Walid Abouzeid
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2016
Materias:	Sacroiliac joint lumbosacral fusion Back Pain local injection Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/8c87a134c10a4ac5b2f226a704c216df
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spelling	oai:doaj.org-article:8c87a134c10a4ac5b2f226a704c216df2021-12-02T02:53:41ZSacroiliac Joint Pain after Lumbo-Sacral Fusion: Incidence and Management ModalitiesDOI:10.21608/ESJ.2016.39872314-89502314-8969https://doaj.org/article/8c87a134c10a4ac5b2f226a704c216df2016-04-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3987.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Incidence of sacroiliac dysfunction in a population suffering from low back pain (LBP) after lumbosacral (LS) fusion is unknown. The underlying pathophysiology of SIJ pain may be increased by mechanical load, iliac crest bone grafting, or a misdiagnosis of SIJ syndrome. Purpose: To evaluate the incidence of SIJ pain and the accuracy of diagnostic tools with utility of different therapeutic modalities after lumbosacral fusion. Study design: Prospective Cohort study. Patients and Methods: We prospectively studied all the patients operated with postero-lateral fusion for the incidence and management of pain originating from SIJ joint in Neurosurgery Department, Sohag University between December 2011 and December 2015. The total number of patients was 205 patients. Indications, levels, techniques of fusion, and Postoperative course (improvement of symptoms, and complications such as infection, peudoarthrosis, metal failure, adjacent segment diseases) all were assessed. Inclusion and exclusion parameters were selected. In addition two management modalities were addressed. Results: Out of 205 patients, 21 patients (10%) missed in follow up, 117 patients (57%) revealed complete clinical improvement in their manifestations, while 67 patients (32.6%) revealed postoperative pain. 67 patients (32.6%) revealed postoperative pain, (low back pain only in 12 patients 20%, lower limb pain only in 9 patients 13.5%, and both in 46 patients 66.5%).44 patients who form the basis for this report. Nine patients (20.5%) improved by medical treatment. Thirty-five patients (79.5%) improved by local injection of glucocorticoids, and local anesthetic. Conclusion: SLJ pain should be considered at any patient developed low back pain below the waist and gluteal pain with or without nonspecific leg or groin pain in patients after lumbosacral fusion.(2016ESJ105)Walid AbouzeidEgyptian Spine AssociationarticleSacroiliac jointlumbosacralfusionBack Painlocal injectionNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 18, Iss 1, Pp 28-38 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sacroiliac joint lumbosacral fusion Back Pain local injection Neurology. Diseases of the nervous system RC346-429
spellingShingle	Sacroiliac joint lumbosacral fusion Back Pain local injection Neurology. Diseases of the nervous system RC346-429 Walid Abouzeid Sacroiliac Joint Pain after Lumbo-Sacral Fusion: Incidence and Management Modalities
description	Background Data: Incidence of sacroiliac dysfunction in a population suffering from low back pain (LBP) after lumbosacral (LS) fusion is unknown. The underlying pathophysiology of SIJ pain may be increased by mechanical load, iliac crest bone grafting, or a misdiagnosis of SIJ syndrome. Purpose: To evaluate the incidence of SIJ pain and the accuracy of diagnostic tools with utility of different therapeutic modalities after lumbosacral fusion. Study design: Prospective Cohort study. Patients and Methods: We prospectively studied all the patients operated with postero-lateral fusion for the incidence and management of pain originating from SIJ joint in Neurosurgery Department, Sohag University between December 2011 and December 2015. The total number of patients was 205 patients. Indications, levels, techniques of fusion, and Postoperative course (improvement of symptoms, and complications such as infection, peudoarthrosis, metal failure, adjacent segment diseases) all were assessed. Inclusion and exclusion parameters were selected. In addition two management modalities were addressed. Results: Out of 205 patients, 21 patients (10%) missed in follow up, 117 patients (57%) revealed complete clinical improvement in their manifestations, while 67 patients (32.6%) revealed postoperative pain. 67 patients (32.6%) revealed postoperative pain, (low back pain only in 12 patients 20%, lower limb pain only in 9 patients 13.5%, and both in 46 patients 66.5%).44 patients who form the basis for this report. Nine patients (20.5%) improved by medical treatment. Thirty-five patients (79.5%) improved by local injection of glucocorticoids, and local anesthetic. Conclusion: SLJ pain should be considered at any patient developed low back pain below the waist and gluteal pain with or without nonspecific leg or groin pain in patients after lumbosacral fusion.(2016ESJ105)
format	article
author	Walid Abouzeid
author_facet	Walid Abouzeid
author_sort	Walid Abouzeid
title	Sacroiliac Joint Pain after Lumbo-Sacral Fusion: Incidence and Management Modalities
title_short	Sacroiliac Joint Pain after Lumbo-Sacral Fusion: Incidence and Management Modalities
title_full	Sacroiliac Joint Pain after Lumbo-Sacral Fusion: Incidence and Management Modalities
title_fullStr	Sacroiliac Joint Pain after Lumbo-Sacral Fusion: Incidence and Management Modalities
title_full_unstemmed	Sacroiliac Joint Pain after Lumbo-Sacral Fusion: Incidence and Management Modalities
title_sort	sacroiliac joint pain after lumbo-sacral fusion: incidence and management modalities
publisher	Egyptian Spine Association
publishDate	2016
url	https://doaj.org/article/8c87a134c10a4ac5b2f226a704c216df
work_keys_str_mv	AT walidabouzeid sacroiliacjointpainafterlumbosacralfusionincidenceandmanagementmodalities
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Sacroiliac Joint Pain after Lumbo-Sacral Fusion: Incidence and Management Modalities

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