Vinas-Rios JM1* and Medina-Govea FA2
1Clinic Epidemiology, SanaKlinikum Offenbach, Germany
2Clinic Epidemiology, Universidad Autonoma de San Luis Potosi, Mexico
Background: Lumbar fusion surgery and multiple operative segments are interdependent risk factors for postoperative Sacroiliac Joint (SIJ) pain. For patients with chronic low back pain originating from the SIJ, minimally invasive SIJ-fusion with triangular titanium implants is a management option for relieving pain. The aim of our study is to analyze the complications, comorbidities and overall result of pain in patients undergoing sacroiliac joint fusion. Material and
Methods: With a percutaneous minimal invasive technique were treated 30 patients over a 2 years period, 22 women and 8 men with a mean age of 45 years (range 25 to 86).
Results: The VAS pre- and postoperatively showed for pain a p-value = 0.045, with 95% CI (0.237, 0.542) revealing a statistically significant systematic improvement in pelvic pain. At follow-up 18 patients reported a higher quality of life and those they were sleeping better than pre-operatively. One patient had a haematoma that required evacuation, one patient developed a paralytic Ileus which improved under conservative management after 3 days and one patient had a superficial abscess related to the closure stitches.
Conclusion: The SI-Joint fusion is a minimal invasive procedure that helps in the treatment of hypermobility or arthrosis in the SI-Joint. However it is of great importance to carefully select the patients before performing this procedure.
Sacroiliac joint fusion; Minimal invasive; Pain relief
Vinas-Rios JM, Medina-Govea FA. Analysis of 2 Years of Sacroiliacal Joint Fusions, Does the Patient Selection Matter? Neurol Disord Stroke Int. 2018; 1(1): 1005.