Background: Chronic low back discomfort is frequently brought on by the sacroiliac joint. The SIJ may be involved in 15-30% of patients who attend for examination of low back pain. Aim of the work: This study evaluates sacroiliac fixation in patients with sacroiliitis associated with L5 lythesis. Patients and methods: In this prospective and retrospective study, 10 individuals with spinal disorders were examined. Ten patients with mechanical sacroiliac joint discomfort underwent sacroiliac joint fixation. Results: Overall, this series' results showed that 7 patients (or 70%) had fully resolved their problems, 2 patients (or 20%), partially improved, and 1 patient (or 10%), had not. Conclusion: Sacroiliac fixation was safe and efficient in the treatment of patients with sacroiliitis associated with L5 lythesis. Currently, one of the most widely used methods for spinopelvic fusion is S2AI screw fixation. Significantly fewer clinical and radiographic problems are linked to the S2AI method . We need further comparison research with larger sample sizes and longer followups to corroborate our findings and pinpoint the risk factors for unfavourable outcomes.
Background: Lumbar and lumbosacral spine fusion is a popular surgical treatment performed to treat spinal instability. According to clinical research, 5.2 percent to 49 percent of patients receiving lumbar fusion experience neighbouring segmental disease. Aim of the work: To assess the prevalence of SIJ dysfunction following lumbar or lumbosacral fusion surgery and to identify relevant risk factors. Patients and Methods: The study involved 105 patients who operated upon by lumbar or lumbosacral fusion with screws and rods without preoperative sacroiliac joint dysfunction in Al-Azhar university Hospitals between July 2018 and January 2019.Result: 48.98% of patients who developed SIJ dysfunction were obese, 67.35% of them were operated upon by multiple segments fixation,69.39% of them were operated upon by S1 fixation. As regard the management 59.2%of the patients who developed SIJ dysfunction was improved on conservative management according to ODI, while 40.8% of them needed Sacroiliac joint injection 75% improved and 25% patients continued to suffer from sacroiliac joint pain, one of them refused the procedure and four patients were had radiofrequency denervation for Sacroiliac joint 1 month after Sacroiliac joint injection, 75% of them had significant more than 50% clinical pain relief and 25% of them had less than 50% clinical pain relief. Conclusion: SIJ dysfunction may be the source of ongoing or new pain following lumbar or lumbosacral fusion. A diagnosis requires physical tests, radiographic scans, and diagnostic injection.
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