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Diagnosis and treatment of sacroiliac joint pain

Sembrano, Jonathan N.a; Reiley, Mark A.b; Polly, David W. Jrc; Garfin, Steven R.d

doi: 10.1097/BCO.0b013e31821f4dba
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Low back pain is the most common type of adult pain and is a leading cause of disability. While this complaint may be ubiquitous, there are many possible causes. Studies have shown that the sacroiliac joint is the cause in approximately 15% of patients with low back pain. The exact pattern is complex. Provocative physical examination maneuvers may help provide a presumptive sacroiliac joint pain diagnosis. Confirmatory diagnosis is achieved with diagnostic injection. For disabling pain that fails to respond to nonoperative treatment, surgical fusion may be necessary; different fusion approaches have been described and are presented.

aUniversity of Minnesota Medical School, Minneapolis VA Medical Center, Minneapolis, MN

bBerkeley Orthopaedic Medical Group, Inc., Berkeley, California

cUniversity of Minnesota Medical School, Minneapolis, MN

dUniversity of California, San Diego

Financial Disclosure: Mark Reiley, MD is the Founder and Chief Medical Officer of SI-BONE, Inc. and the Inventor of SI-BONE. Steven R. Garfin, MD is the Chairman of the SI-BONE Medical Advisory Board. David W. Polly Jr. was a former consultant for Medtronic Spine (ended 10/01/09) and Medtronic Navigation (ended 06/28/10); he has received research support from the Department of Defense and served on the SRS Board of Directors (ended 07/20/10).

Correspondence to Jonathan N. Sembrano, MD, Department of Orthopaedic Surgery, University of Minnesota Medical School, Staff Orthopaedic Surgeon, Minneapolis VA Medical Center 2450 Riverside Ave. South, R200, Minneapolis, MN 55454 Tel: + 612 273 7991; fax: 612 273 7959; e-mail: sembr001@umn.edu

© 2011 Lippincott Williams & Wilkins, Inc.