Sacroiliac Joint Dysfunction: When to Consider SI Joint Fusion Surgery

The sacroiliac (SI) joints play a crucial role in stabilizing the pelvis and absorbing the forces between the upper body and legs. However, when these joints become dysfunctional due to injury, inflammation, or degenerative changes, they can cause significant lower back and pelvic pain. While conservative treatments can help manage symptoms, some patients may require SI joint fusion surgery for long-term relief.

Understanding Sacroiliac Joint Dysfunction

SI joint dysfunction occurs when the joint becomes too stiff or too mobile, leading to pain and reduced mobility. Common causes include:

• Trauma or injury (e.g., falls, car accidents)
• Pregnancy-related pelvic changes
• Arthritis and degenerative joint conditions
• Prior lumbar fusion surgery, which can place additional stress on the SI joint

Symptoms often mimic other lower back conditions, making accurate diagnosis essential. Patients typically experience:

• Pain localized to the lower back, buttocks, or hip
• Discomfort while sitting, standing, or walking for prolonged periods
• Pain that worsens with movement or weight-bearing activities

Conservative Treatment Options

Many cases of SI joint dysfunction can be effectively managed with non-surgical treatments, such as:

• Pain management techniques, including medications and injections
• Use of braces or supports to reduce excessive joint movement

However, if these treatments fail to provide relief, SI joint fusion surgery may be considered.

When to Consider SI Joint Fusion Surgery

SI joint fusion is a minimally invasive procedure designed to stabilize the joint by fusing the sacrum and ilium bones together using implants or bone grafts. You may be a candidate for surgery if:

• You have persistent pain despite at least six months of conservative treatment
• Diagnostic injections have confirmed the SI joint as the source of pain
• Your condition significantly impacts daily activities and quality of life

Benefits of SI Joint Fusion Surgery

Compared to traditional open surgery, minimally invasive SI joint fusion offers several advantages:

• Smaller Incisions: Reduced tissue disruption leads to faster healing.
• Shorter Recovery Time: Many patients experience symptom relief within weeks and return to normal activities more quickly.
• High Success Rate: Studies show significant pain reduction and improved function following the procedure.

Recovery and Post-Surgical Care

Following SI joint fusion, patients typically follow a structured rehabilitation plan, which may include:

• Limited weight-bearing activities for the first few weeks
• Follow-up appointments to monitor healing and fusion progress

Expert Care at IGEA Brain, Spine, Pain & Orthopedics

At IGEA Brain, Spine, Pain & Orthopedics, our specialists offer advanced diagnostic tools and innovative treatments for SI joint dysfunction. If you are struggling with persistent lower back pain and conservative treatments have not worked, SI joint fusion surgery may be the right solution.