Risk Factors of Postoperative Sacroiliac Joint Pain for Posterior Lumbar Surgery: ≥2-Year Follow-up Retrospective Study

World Neurosurg. 2018 Feb:110:e546-e551. doi: 10.1016/j.wneu.2017.11.053. Epub 2017 Nov 20.


Purpose: A retrospective study was conducted to clarify the risk factors of postoperative sacroiliac joint pain (SIJP) for posterior open lumbar surgery.

Patients and methods: A total of 472 patients who underwent posterior lumbar surgery between January 2011 and December 2014 were included in this analysis. We recorded basic characteristics, surgical characteristics, and SIJP information for each patient.

Results: The incidence of postoperative SIJP is 13.8% in our study. Comparison of the incidence of SIJP between diskectomy and posterior lumbar interbody fusion indicated that SIJP incidence tended to be higher in posterior lumbar interbody fusion patients (P = 0.029). Compared with the single-segment group, SIJP occurred more frequently in the multiple operative segments group (P = 0.025). Comparing the incidence of SIJP among different types of lumbar diseases, SIJP incidence is significantly higher in the lumbar stenosis group (P = 0035).

Conclusion: Lumbar fusion surgery and multiple operative segments are interdependent risk factors for the postoperative SIJP. The incidence of postoperative SIJP also increases in patients with lumbar stenosis compared with lumbar disk herniation and lumbar spondylolisthesis.

Keywords: Posterior lumbar surgery; Postoperative sacroiliac joint pain; Risk factor.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Arthralgia / epidemiology*
  • Diskectomy
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Lumbar Vertebrae / surgery*
  • Male
  • Middle Aged
  • Pain, Postoperative / epidemiology*
  • Retrospective Studies
  • Risk Factors
  • Sacroiliac Joint*
  • Spinal Diseases / epidemiology*
  • Spinal Diseases / surgery*
  • Spinal Fusion
  • Treatment Outcome
  • Young Adult