Sacroiliac Joint: Function, Pathology, Treatment, and Contribution to Outcomes in Spine and Hip Surgery.

Autor:	Horton I; Division of Orthopedic Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada.; The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada., McDonald J; Division of Physical Medicine and Rehabilitation, The Ottawa Hospital, Ottawa, Ontario, Canada., Verhaegen J; Orthopaedic Department, University Hospital Antwerp, Edegem, Belgium.; Orthopaedic Center Antwerp, Antwerp, Belgium., Dobransky S; Faculty of Medicine, University of Western Ontario, London, Ontario, Canada., Rakhra KS; Department of Medical Imaging, The Ottawa Hospital, Ottawa, Ontario, Canada., Phan P; Division of Orthopedic Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada., Lazennec JY; Orthopaedic Department, Sorbonne University, Paris, France., Grammatopoulos G; Division of Orthopedic Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	The Journal of bone and joint surgery. American volume [J Bone Joint Surg Am] 2024 Dec 23. Date of Electronic Publication: 2024 Dec 23.
DOI:	10.2106/JBJS.24.00380
Abstrakt:	➢ Low back pain has a lifetime incidence of up to 84% and represents the leading cause of disability in the United States; 10% to 38% of cases can be attributed to sacroiliac joint (SIJ) dysfunction as an important pain generator.➢ Physical examination of the SIJ, including >1 provocation test (due to their moderate sensitivity and specificity) and examination of adjacent joints (hip and lumbar spine) should be routinely performed in all patients presenting with low back, gluteal, and posterior hip pain.➢ Radiographic investigations including radiographs, computed tomography, and magnetic resonance imaging with protocols optimized for the visualization of the SIJs may facilitate the diagnosis of common pathologies.➢ Intra-articular injections with anesthetic can be helpful in localizing the source of low back pain. Over-the-counter analgesics, physiotherapy, intra-articular injections, radiofrequency ablation, and surgery are all management options and should be approached from the least invasive to the most invasive to minimize the risks of complications.➢ Lumbar fusion surgery predisposes patients to more rapid SIJ degeneration and can also result in more rapid degenerative changes in the hip joints, especially with SIJ fusion.➢ Hip surgery, including hip arthroplasty and preservation surgery, is not a risk factor for SIJ degeneration, although reduced outcomes following hip surgery can be seen in patients with degenerative SIJ changes. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJS/I339). (Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze:	MEDLINE
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