Special Technical ArticleTreatment of Infectious Sacroiliitis in Pregnant Patients: A Case for Surgical DebridementVajapey, Sravya P. MD*; Brown, Chelsea MD*; Sullivan, Anne MD*; Van Hoff, Corey MD†Author Information *Department of Orthopaedics, The Ohio State University, Columbus †Orthopedic One Inc., Dublin, OH The authors declare that they have nothing to disclose. For reprint requests, or additional information and guidance on the techniques described in the article, please contact Corey Van Hoff, MD, at [email protected] or by mail at 6840 Perimeter Drive, Dublin, OH 43016. You may inquire whether the author(s) will agree to phone conferences and/or visits regarding these techniques. Techniques in Orthopaedics: September 2021 - Volume 36 - Issue 3 - p 266-271 doi: 10.1097/BTO.0000000000000432 Buy Metrics Abstract Infectious sacroiliitis is a rare disease entity that can mimic other conditions. If recognized early and treated appropriately, most patients experience favorable outcomes. Pregnant patients with infectious sacroiliitis pose a unique challenge for the physician. We report 3 cases of pregnant patients with infectious sacroiliitis, describe the surgical technique used to debride the sacroiliac joint in pregnant patients, report their outcomes, and provide a treatment algorithm for management of this condition in this patient population. All patients failed initial conservative treatment with antibiotics and underwent surgical debridement. All 3 had history of intravenous drug use, which is one of the predisposing factors. All 3 patients had favorable outcomes after surgery. Surgical debridement of infectious sacroiliitis is a viable treatment option in the pregnant patient with infectious sacroiliitis resistant to conservative treatment. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.