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Simultaneous Sacroiliac Joint Fusion in Patients with Long Lumbosacral Constructs: Case Report and Operative
Mohammad Hassan A Noureldine1, Thomas B Freeman2, Puya Alikhani2
1Department of Neurosurgery, Johns Hopkins University School of Medicine, Institute for Brain Protection Sciences, Johns Hopkins All Children's Hospital, Saint Petersburg, Florida, USA.
World Neurosurgery
|May 8, 2020
Summary
Simultaneous sacroiliac joint (SIJ) fusion during long lumbosacral fusion may prevent SIJ disease and alleviate SIJ pain. Further multicenter studies are needed to validate this surgical approach for spinal fusion patients.
Area of Science:
- Spine surgery
- Orthopedics
- Sacroiliac joint biomechanics
Background:
- Limited literature exists on sacroiliac joint (SIJ) pain and arthropathy after long lumbosacral fusion with SIJ fixation.
- Clinical observations suggest a high incidence of postoperative SIJ disease in patients undergoing these procedures.
Observation:
- This report details a clinical observation of simultaneous SIJ fusion during long-construct lumbosacral fusion and sacropelvic fixation using S2-alar-iliac screws.
- The technique was applied in cases where SIJ pain was either absent or in remission.
Findings:
- Simultaneous SIJ fusion during sacropelvic fixation may reduce the occurrence of SIJ disease postoperatively.
- This approach may also lead to remission of SIJ pain in patients who have undergone revision surgeries.
Implications:
- Simultaneous SIJ fusion could be a viable strategy to mitigate SIJ complications following extensive spinal fusion.
- Further multicenter prospective studies are warranted to confirm these findings and establish the efficacy of this technique.
