Sacroiliac joint pain (SIJP) after lumbar/Lumbosacral fusion: Our experience
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2022, Vol 34, Issue 01
Abstract
Objective: To evaluate risk factors for SIJP following lumbar or Lumbosacral fusion in our population. Methods: This retrospective study was conducted in Orthopedic and Spine department of Ziauddin University hospital Karachi. Patients meeting inclusion criteria were included. Incidence of SIJ pain following lumbosacral fusion surgery and its associated risk factors were assessed. Results: 597 patients were included, 256(42.9%) were males and 341(57.1%) were females with mean age of 58.3 +/- 14 years. L4-L5 was most common involved segment in 49.1% cases followed by L3-L4 (30.5%) and L5-S1 (10.1%). Floating fusion was performed in 401 (67.2%) cases while fixed fusion was performed in 196(32.8%). Lumbar canal stenosis was most common diagnosis followed by LDH and spondylolisthesis. SIJ pain developed in 81 (13.6%) patients within 6-12 months in most of cases. Significant relationship was found between SIJ pain with more than 3 levels lumbar fusion (p-value=0.000), fixed fusion involving S1 (67/81 pts, p-value=0.000). No significant association was found between SIJ pain with age, gender, smoking, comorbidities, spinopelvic balance and degenerative scoliosis. Conclusion: Multilevel fusion and fixed fusion are interrelated risk factors for development of post operative SIJ pain. Keywords: Spinal Stenosis, Spinal Fusion,Pedicle Screws, Sacroiliac Joint,
Authors and Affiliations
Shahbaz Khan Panhwer1, Nida Hameed2, Saoud Javed3, Sohail Rafi4, Imtiaz Hashmi5
Keywords
Related Articles
- EP ID EP741289
- DOI -
- Views 18
- Downloads 0
Short Term Results of Developmental Dysplasia of Hip (DDH) Operated through Modified Medial Approach using two Intervals.
Objective: To determine the short-term functional and radiological results in patients with Developmental Dysplasia of Hip (DDH) operated through a modified medial approach using two intervals. Methods: This descripti...
Functional and Radiological Outcome of Longer Lever Arm Plates with Minimally Invasive Plate Osteosynthesis (MIPO) in AO Type C Distal Femoral Fracture
Objective: To evaluate the treatment outcome in AO type C, distal femoral fractures using longer lever arm anatomical plates with minimally invasive plate osteosynthesis (MIPO) technique. Methods: This prospective cas...
Custom-Made Antibiotic Cement-Coated Nails for The Treatment of Infected Nonunion in Femur
Evaluation of antibiotic cement impregnated nailing in the management of infected non-union of femur. Methods: The prospective study was made on 19 cases of infected non-union of femur from 2014 to 2015 Evaluation of...
Out Come of Kelafong Procedure in The Treatment of Spinal Tuber Culosis
Objective: To find the outcome of Kelafong procedure in the treatment of spinal tuberculosis Methods: This prospective study was conducted on 8 patients diagnosed with active spine tuberculosis in the Department of Or...
Incidence of one-year mortality following hip surgery in elderly Population: Observational study
Objective: To evaluate the incidence of one year-mortality following hip surgery in elderly population. Methods: This study conducted from January 2012 to June 2015 and the data was extracted from the patients’ data r...