Confirming the source
Provocation tests on exam and diagnostic SI joint injections that bring clear short-term relief help confirm the SI joint as the pain generator before any fusion.
How it works
Through a small incision in the low back and under X-ray guidance, the joint is prepared and a bone allograft implant is placed to promote fusion. It is an outpatient procedure for most patients.
Evidence
Prospective studies of posterior SI joint fusion report improvements in pain and function. The evidence base is growing but is smaller than for some lateral-approach implants, and we discuss the options and evidence openly.
Risks
Risks include incomplete fusion, persistent pain, infection, bleeding and, rarely, nerve irritation.
Common
questions.
Related conditions
Related treatments
Sources
- Sayed D, et al. SECURE: a multicenter, prospective study of posterior sacroiliac joint fusion with the LinQ implant. J Pain Res. 2024.
- Polly DW, et al. Two-year outcomes from a randomized controlled trial of minimally invasive SI joint fusion versus non-surgical management (INSITE). Int J Spine Surg. 2016.
This page is general information, not medical advice. Individual results vary. Medical Disclaimer