The Sacroiliac Joint: A Current State-of-the-Art Review : JBJS Reviews

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A Current State-of-the-Art Review

Polly, David W. Jr MD1,a

Author Information

1Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota

aEmail address for corresponding author: [email protected]

Investigation performed at the University of Minnesota, Minneapolis, Minnesota

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSREV/B61).

JBJS Reviews | DOI: 10.2106/JBJS.RVW.23.00151

Metrics Abstract » The sacroiliac joint (SIJ) is a common cause of low back pain and should be included in the differential diagnosis. » Nonoperative treatment of sacroiliac pain is always the first line of therapy; however, when it is unsuccessful and becomes chronic, then recurrent nonoperative treatment becomes expensive. » Surgical treatment is cost-effective in appropriately selected patients. High-quality clinical trials have demonstrated statistically and clinically significant improvement compared with nonsurgical management in appropriately selected patients. » Spinal fusion to the sacrum increases degeneration of the SIJ and frequency of SIJ pain. Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated Full Text Access for Subscribers:

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