Outcomes Of Bilateral Sacroiliac Joint Fusions And The Importance Of Understanding Potential Coexisting Lumbosacral Pathology That Might Also Require Surgical Treatment / Bruce E. DALL in Acta Orthopaedica Belgica, Vol 81/2 (Juin 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.233-239 Titre : Outcomes Of Bilateral Sacroiliac Joint Fusions And The Importance Of Understanding Potential Coexisting Lumbosacral Pathology That Might Also Require Surgical Treatment Type de document : texte imprimé Auteurs : Bruce E. DALL, Auteur ; Sonia V. EDEN, Auteur Année de publication : 2015 Article en page(s) : p.233-239 Langues : Anglais (eng) Mots-clés : Sacroiliac  joint  fusion  surgery, outcomes  bilateral  lumbosacral  algorithm  treatment Résumé : Only one study in the literature describes performing a bilateral sacroiliac joint fusion, and the results were poor. Many patients needing a bilateral sacroiliac joint fusion frequently have had previous lumbosacral surgeries and present with lumbosacral pain as well. This study reviews our results in consecutive patients having had a bilateral sacroiliac joint fusion over a five-year period. Fifteen patients had bilateral sacroiliac joint fusions with 13 having concurrent lumbosacral fusions. The modified posterior midline fascial splitting approach, first described by Belanger was utilized. Patients were followed for an average of 30.3 months. There were no infections, neurovascular injuries, lasting morbidity or deaths. One non-union of a sacroiliac joint (7%) occurred, which after revision was satisfactory. There was a statistically significant drop in pain (p = 0.01488) using the VAS, and patient satisfaction rates were 86%. With all those patients saying they would have the surgery again for the same result. There was no significant increase in functionality. Patients needing bilateral sacroiliac joint fusions frequently fall into the “failed back” category, and it is important to evaluate both the sacroiliac joints and the lumbosacral spine for potential pain generators. This study shows that by treating all the pain generators in both areas there were significant decreases in pain, low complications, low re-operation rates, and high patient satisfaction scores. Overall functionality, however, was not positively affected. Permalink : ./index.php?lvl=notice_display&id=40565 [article] Outcomes Of Bilateral Sacroiliac Joint Fusions And The Importance Of Understanding Potential Coexisting Lumbosacral Pathology That Might Also Require Surgical Treatment [texte imprimé] / Bruce E. DALL, Auteur ; Sonia V. EDEN, Auteur . - 2015 . - p.233-239. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol 81/2 (Juin 2015) . - p.233-239 Mots-clés : Sacroiliac  joint  fusion  surgery, outcomes  bilateral  lumbosacral  algorithm  treatment Résumé : Only one study in the literature describes performing a bilateral sacroiliac joint fusion, and the results were poor. Many patients needing a bilateral sacroiliac joint fusion frequently have had previous lumbosacral surgeries and present with lumbosacral pain as well. This study reviews our results in consecutive patients having had a bilateral sacroiliac joint fusion over a five-year period. Fifteen patients had bilateral sacroiliac joint fusions with 13 having concurrent lumbosacral fusions. The modified posterior midline fascial splitting approach, first described by Belanger was utilized. Patients were followed for an average of 30.3 months. There were no infections, neurovascular injuries, lasting morbidity or deaths. One non-union of a sacroiliac joint (7%) occurred, which after revision was satisfactory. There was a statistically significant drop in pain (p = 0.01488) using the VAS, and patient satisfaction rates were 86%. With all those patients saying they would have the surgery again for the same result. There was no significant increase in functionality. Patients needing bilateral sacroiliac joint fusions frequently fall into the “failed back” category, and it is important to evaluate both the sacroiliac joints and the lumbosacral spine for potential pain generators. This study shows that by treating all the pain generators in both areas there were significant decreases in pain, low complications, low re-operation rates, and high patient satisfaction scores. Overall functionality, however, was not positively affected. Permalink : ./index.php?lvl=notice_display&id=40565

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