gms | German Medical Science

62. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Polnischen Gesellschaft für Neurochirurgen (PNCH)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

07. - 11. Mai 2011, Hamburg

Sacroiliac Joint Arthrodesis using a new technique – preliminary results after one-year follow-up

Meeting Abstract

Suche in Medline nach

  • M.J.A. Puchner - Neurochirurgische Klinik, Knappschaftskrankehaus Recklinghausen
  • T.J. Skajster - Neurochirurgische Klinik, Knappschaftskrankehaus Recklinghausen

Deutsche Gesellschaft für Neurochirurgie. Polnische Gesellschaft für Neurochirurgen. 62. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Polnischen Gesellschaft für Neurochirurgen (PNCH). Hamburg, 07.-11.05.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. DocP 053

DOI: 10.3205/11dgnc274, URN: urn:nbn:de:0183-11dgnc2748

Veröffentlicht: 28. April 2011

© 2011 Puchner et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: Pain due to a micro-instability and arthrosis of the sacroiliac joint (SIJ) is a frequently underestimated reason for deep sacral low back pain (LBP). As in our series of patients, it is often observed after prior surgical lumbar fusion.

Methods: The diagnosis of SIJ-arthosis was based on clinical symptoms, as well as on clinical and radiological findings. In addition, all patients underwent a SIJ-infiltration for diagnostic reasons and conservative treatment for at least 3 months. Since Nov. 2009, we have diagnosed and treated 27 patients with SIJ-syndrome according to this concept. Due to a failure of conservative treatment, 11 patients underwent operative treatment using the Diana-SIJ-cage (Signus) to achieve SIJ-arthrodesis. Preoperative examination and postoperative follow-up after 6 and 12 months to date included an assessment of the clinical outcome, the satisfaction of the patient and a pelvic CT-scan.

Results: 16 out of 27 patients responded at least temporarily to conservative treatment and remained therefore nonsurgical. All 11 patients who were operated described a good relief of their preoperative symptoms especially the sitting intolerance. However, in 3 patients, an only partially satisfactory result was achieved due to remaining mild to moderate persisting LBP.

Conclusions: SIJ-Arthrodesis using a novel technique seems to be a promising treatment option for patients with chronic SIJ-pain that does not respond to conservative therapy. However, our good single-center experience needs to be confirmed in a controlled, randomized well-designed study comparing the new technique to the alternatives of a continuous conservative treatment and other operative techniques introduced in the past.