• Br J Neurosurg · Feb 2019

    High frequency of lumbar fusion in patients denied surgical treatment of the sacroiliac joint.

    • Vicente Vanaclocha-Vanaclocha, Juan Manuel Herrera, Nieves Sáiz-Sapena, Marlon Rivera-Paz, and Francisco Verdú-López.
    • a Department of Neurosurgery , Hospital 9 de Octubre , Valencia , Spain.
    • Br J Neurosurg. 2019 Feb 1; 33 (1): 12-16.

    PurposeEffective treatment of medical conditions relies on proper diagnosis. Clinical trials show the safety and effectiveness of sacroiliac joint (SIJ) fusion in patients with chronic SI joint dysfunction. To what extent is the condition under recognised?ObjectiveTo determine whether under recognition of SIJ pain affects healthcare trajectories in Spanish patients with low back pain.MethodsRetrospective study of characteristics and consequences of 189 patients with persistent SIJ pain seen in an outpatient neurosurgery clinic.ResultsPatients with SIJ pain who were denied surgical treatment had a longer pain duration, higher likelihood of prior lumbar fusion, and a high rate (63%) of lumbar fusion within 2 years prior to SIJ pain diagnosis, which, in most cases, provided little benefit.ConclusionsLack of knowledge of the role of the SIJ in chronic low back pain probably results in diagnostic confusion and may lead to misdirected treatment.

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