|
The sacroiliac joint is a paired joint in the pelvis that lies between the sacrum and an ilium. Due to its location in the lower back, a dysfunctional sacroiliac joint may cause lower back and/or leg pain. The resulting leg pain can be severe, resembling sciatica or a slipped disc. While nonsurgical treatments are effective for some, others have found that surgery for the dysfunctional sacroiliac joint is the only method to relieve pain. Sacroiliac joint dysfunction is diagnosed by a physician. Associated surgery should only occur when certain criteria are satisfied.〔Dall BE Eden SV Brumblay HG. Sacroiliac joint dysfunction: an algorithm for diagnosis and treatment. (2010) http://www.borgess.com/files/bbsi/pdf/si_joint_white.pdf〕 Surgical options, such as the degree of invasiveness, can then be evaluated when deciding on a treatment plan. If complications occur, they are often detected early (during surgery or shortly after) and correlate with the surgical approach.〔Shutz U Grob D. Poor outcome following bilateral sacroiliac joint fusion for degenerative sacroiliac joint syndrome. Act Orthop Belg. (2006) 72 (3) 296-308〕〔Wise CL Dall BE. Minimally invasive sacroiliac arthrodesis: outcomes of a new technique. J Spinal Disord Tech. (2008) 21 (8) 579-584〕〔Rudolf L. Sacroiliac joint arthrodesis-MIS technique with titanium implants: report of the first 50 patients and outcomes. Open Orthop J. (2012) 6 495-502〕〔Dall BE Editor. Surgical Treatment for the painful dysfunctional sacroiliac joint: a clinical guide. Springer Publishing. (2014) ISBN 3319107259〕 Results and outcomes vary according to the patient, pathology, surgeon, procedure, and methods.〔 ==History== Sacroiliac joint surgery was first described in 1926 by the Journal of Bone and Joint Surgery.〔Smith-Petersen MN Rogers WA. End-result study of arthrodesis of the sacroiliac joint for arthritis-traumatic and non-traumatic. J Bone Joint Surg Am; 1926 (8) 118-136〕 Following its appearance, the original procedure was documented in several publications and practices for nearly a century.〔〔〔〔Waisbrod H Krainick JU Gerbershagen HU. Sacroiliac joint arthrodesis for chronic lower back pain. Archives of Orthopedic and Traumatic Surgery: 1987 (4) 106; 238-240〕〔Belanger TA Dall BE. Sacroiliac arthrodesis using a posterior midline fascial splitting approach and pedicle screw instrumentation: A new technique. J Spinal Discord: (2001) 14 (2) 118-124〕〔Buchowski JM et al. Functional and radiographic outcome of sacroiliac arthrodesis for disorders of the sacroiliac joint. Spine J: (2005) 5 (5) 520-528 Discussion 529〕〔Keating JG. Sacroiliac joint fusion in a chronic low back pain population. In Vleeming A, editor. The integrated function of the lumbar spine and sacroiliac joints: second interdisciplinary world congress on low back pain. Rotterdam:ECO; (1995) 361-365〕〔Kibsgard TJ et al. Pelvic joint fusions in patients with chronic pelvic girdle pain: a 23-year follow up. Eur Spine J; (2013) 22 (4) 871-877〕〔Giannikas KA et al. Sacroiliac joint fusion for chronic pain: a simple technique avoiding he use of metalwork. Euro Spine J. (2004) 13 (3) 253-256〕〔Haufe SM Mork AR. Sacroiliac joint debridement: a novel technique for the treatment of sacroiliac joint pain. Photoed Laser Surg. (2005) 23 (6) 596-598〕〔Kurana A et al. Percutaneous fusion of the sacroiliac joint with hollow modular anchorage screws: clinical and radiological outcome. J Bone Joint Surg Br. (2009) 91 (5) 627-631〕〔Al-hayer A et al. Percutaneous sacroiliac joint arthrodesis: a novel technique. J Spinal Disord Tech; (2008) 21 (5) 359-363〕〔Mason LW Chopra I Mohanty K. The percutaneous stabilization of the sacroiliac joint with hollow modular anchorage screws: a prospective outcome study. Euro Spine J. (2013) 22 (10) 2325-2331〕〔Sachs D Capobianco R. One year successful outcomes for novel sacroiliac joint arthrodesis system. Ann Surg Innov Res. (2012) 6(1)13〕 Sacroiliac joint surgeries have improved significantly beyond their nascency, which lacked the advent of hardware or instrumentation.〔 The first use of sacroiliac joint surgical materials appeared in 1987 with the use of ceramic blocks to aid in joint fusing.〔 The year 2001 marked the advent of spinal rods and screws to facilitate internal fixation.〔 Continued improvements have been documented as surgeons reduce their incision size while avoiding tissues such as muscle, blood vessels, and nerves.〔〔 Modern sacroiliac joint surgery utilizes instrumentation systems attempts o be as minimally invasive as possible. The first surgical textbook on sacroiliac joint surgery was published in 2014.〔 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Surgery for the dysfunctional sacroiliac joint」の詳細全文を読む スポンサード リンク
|