The Sacroiliac Joint

Neurosurg Clin N Am. 2017 Jul;28(3):301-312. doi: 10.1016/j.nec.2017.03.003.

Abstract

The sacroiliac joint moves 2.5°. It is innervated with nociceptive fibers. It is a common cause of low back pain (15%-30%). Degenerative changes occur, especially after lumbosacral fusion. When performed in series, physical examination maneuvers are diagnostic. Confirmatory image-guided injections can aid the diagnosis. In randomized clinical trials, surgical treatment in appropriately selected patients has been demonstrated to be statistically and clinically superior to nonsurgical management.

Keywords: Low back pain; SI joint; SIJ; Sacroiliac joint; Sacroiliac joint fusion.

Publication types

  • Review

MeSH terms

  • Arthralgia / etiology*
  • Arthralgia / therapy*
  • Humans
  • Joint Diseases / etiology
  • Joint Diseases / therapy
  • Low Back Pain / etiology*
  • Low Back Pain / therapy*
  • Physical Examination
  • Postoperative Care
  • Postoperative Complications / etiology
  • Sacroiliac Joint* / diagnostic imaging
  • Spinal Fusion / adverse effects