University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Orthopedic Surgery


Dr. Elyse Watkins


Purpose: The purpose of this article is to review the sacroiliac joint with regards to the proposed rate of incidence, potential risk factors in developing and its significance in low back pain following lumbar or lumbosacral fusion.

Method: A search of the literature was performed through the usage of PubMed, Google Scholar, and subsequent bibliography sections of pertinent articles for relevant keywords.

Results: Results are conflicting at this time and do not show a strong correlation between any one surgical factor and development of SI joint pain post-operatively. However, lumbar and lumbosacral fusion patients do face increased overall rates of SI joint pain post-operatively.

Conclusion: New, recurrent, or continued low back pain is extremely prevalent following lumbar or lumbosacral fusion surgery and creates a large burden on the healthcare industry. Further large scale and high quality randomized controlled trials are needed. Clinicians should be aware of this potential and discuss the risks with patients prior to surgery.

Keywords: sacroiliac joint, sacroiliitis, lumbar spinal fusion, lumbosacral spinal fusion, failed back surgery syndrome, chronic low back pain, low back pain, and adjacent segment disease


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