To summarize the points in this paper:
1. Ankylosis of lumbosacral or sacro-iliac joints will produce rapid relief in cases of pain and disability due to mechanical instability or to disease limited to these joints.
2. The best operative procedure for the lumbosacral region is a combination of the Hibbs technique with one or more large bone grafts removed preferably from the ilium; where great speed is imperative, the original Albee technique is recommended.
3. A single sacro-iliac joint can be satisfactorily fused by the SmithPetersen technique, or by the Campbell or Chandler method. When both sacro-iliac joints require fusion, or where the trisacral fusion is required, Campbell's or Chandler's method should be combined with the lumbosacral operation above described.
(C) 1932 All Rights Reserved.The Journal of Bone and Joint Surgery, Inc.