SACROILAC JOINT FUSION IN PASADENA

Expert Pain Relief & Mobility Solutions

The sacroiliac (SI) joint, located at the base of the spine, connects the sacrum to the pelvic bones. When this joint is injured or unstable, it can cause chronic pain in the lower back, buttocks, and legs. Sacroiliac joint fusion is a minimally invasive surgical procedure that stabilizes the joint by fusing the bones, effectively reducing pain by preventing abnormal motion. At Spine & Pain Institute Los Angeles, we offer this procedure in Pasadena and Los Angeles for patients needing lasting relief.
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What is Sacroiliac Joint Fusion and How Does it Work?

Sacroiliac (SI) joint fusion is a surgical procedure designed to stabilize and reduce pain in the sacroiliac joint, which is located at the base of the spine where the sacrum meets the iliac bones of the pelvis. The SI joint is crucial for supporting the upper body’s weight and allowing movement between the spine and pelvis. When this joint becomes unstable or inflamed, it can lead to chronic pain that radiates through the lower back, buttocks, and legs.

Sacroiliac joint fusion involves the permanent joining, or “fusing,” of the sacrum and ilium to eliminate motion at the joint and provide stability. The procedure is typically performed using a minimally invasive technique, where small incisions are made, and specialized surgical instruments are used to place bone grafts or implants across the joint. These implants, usually made of titanium, encourage the bones to grow together, effectively “fusing” the joint over time. The procedure generally takes about 45 minutes and may be guided by real-time imaging to ensure precise placement of the implants. By stabilizing the joint, this fusion can significantly reduce or eliminate pain and improve function for patients suffering from SI joint dysfunction.

When is Sacroiliac Joint Fusion the Right Choice?

Sacroiliac joint fusion may be the right choice for patients who experience chronic pain in the lower back, buttocks, or legs that originates from the sacroiliac joint and have not found relief from conservative treatments. It is typically considered when:

•Non-Surgical Treatments Have Failed: If options like physical therapy, medications, or SI joint injections have not provided significant or lasting relief, sacroiliac joint fusion may be recommended.

•Diagnosis of Sacroiliac Joint Dysfunction: A confirmed diagnosis of SI joint dysfunction, often made through physical examination, imaging studies, and diagnostic injections, suggests that the joint is the source of the pain.

•Severe Joint Instability or Degeneration: Patients with significant instability or degeneration of the SI joint due to conditions like arthritis, trauma, or pregnancy-related changes may benefit from the stabilization provided by fusion.

•Impact on Daily Life: When pain from the SI joint severely limits mobility, daily activities, and quality of life, sacroiliac joint fusion may offer a long-term solution to restore function and comfort.

At Spine & Pain Institute Los Angeles, we evaluate each patient’s unique condition to determine if sacroiliac joint fusion is the best treatment option for them.

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Recovery Process After Sacroiliac Joint Fusion

After sacroiliac (SI) joint fusion surgery, the recovery process typically involves a gradual return to normal activities. Initially, you may experience some discomfort or pain around the surgical site, which can be managed with medications prescribed by your doctor. Physical therapy is often recommended to help strengthen the muscles around the SI joint, improve flexibility, and enhance overall mobility.

During the recovery period, you will need to avoid heavy lifting, bending, or twisting motions that could strain the healing joint. Our specialists at Spine & Pain Institute LA will provide specific instructions on postoperative care, including how to care for your incision, when to resume driving and work activities, and any temporary restrictions on physical activities. Follow-up appointments will be scheduled as needed to monitor your progress. Full recovery can take several weeks to months, during which time our team will support you in achieving optimal outcomes from the surgery.

Benefits of Sacroiliac Joint Fusion

  • Pain Relief: By stabilizing the sacroiliac joint and reducing abnormal movement, fusion surgery can significantly alleviate chronic lower back pain that has not responded to conservative treatments like medications or physical therapy.
  • Improved Function: Patients often experience improved ability to perform daily activities and participate in physical tasks without the limitations imposed by SI joint dysfunction.
  • Long-Term Stability: Fusion creates a permanent bond between the sacrum and ilium, restoring stability to the joint and preventing future degeneration or displacement that could contribute to pain.
  • Reduced Need for Medications: Many patients find they can reduce or eliminate the need for pain medications post-surgery, improving overall quality of life and reducing potential side effects associated with long-term medication use.
  • Enhanced Quality of Life: With reduced pain and improved function, patients can enjoy a better quality of life, returning to activities they enjoy and experiencing less disruption from chronic SI joint issues.

Conditions Treated with Sacroiliac Joint Fusion

Sacroiliac Joint Dysfunction

This includes chronic pain and instability arising from degenerative changes, injury, or inflammation affecting the sacroiliac joint.

SI Joint Arthritis

Fusion can be effective for pain relief caused by arthritis affecting the sacroiliac joint, where conservative treatments have not provided sufficient relief.

SI Joint Trauma

In cases where trauma or injury has led to persistent pain and dysfunction of the sacroiliac joint, fusion surgery may stabilize the joint and alleviate pain.

SI Joint Instability

Fusion can address pain and dysfunction caused by abnormal movement or instability of the sacroiliac joint, restoring stability and reducing pain.
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What To Expect During The Procedure?

1. Preparation: Before the procedure, you will undergo a thorough evaluation, including imaging tests such as X-rays, CT scans, or MRI to assess the condition of the SI joint and plan the surgery. You may also be advised to stop certain medications that could interfere with the procedure.

2. Anesthesia: The surgery is performed under general anesthesia or spinal anesthesia, depending on your health and the preference of your surgical team. This ensures you are comfortable and pain-free during the procedure.

3. Surgical Approach: The surgeon will make an incision over the SI joint, usually on the side or back of the pelvis. This allows access to the joint for the fusion procedure. Minimally invasive techniques may be used, which involve smaller incisions and specialized instruments.

4. Joint Preparation: Any damaged cartilage or tissues in the SI joint are removed to expose the bone surfaces of the sacrum and ilium. The surfaces are then carefully prepared by roughening them to promote bone growth and fusion.

5. Bone Graft Placement: Bone graft material is inserted into the joint space between the sacrum and ilium. This bone graft serves as a scaffold for new bone growth, which eventually bridges the gap between the two bones, stabilizing the joint.

6. Implantation: In some cases, metal implants such as screws, rods, or plates may be used to stabilize the joint and hold the bones in place while fusion occurs. These implants provide additional support and stability during the healing process.

7. Closure: Once the bone graft and implants are in place, the incision is closed with sutures or staples, and a sterile dressing is applied.

Frequently Asked Questions:

How successful is sacroiliac joint fusion in relieving pain?

Sacroiliac joint fusion has a high success rate, with many patients experiencing significant or complete pain relief. Studies show that a majority of patients report improved function and quality of life after the procedure. However, individual outcomes can vary, and it’s important to have realistic expectations.

Will I need physical therapy after the procedure?

Yes, physical therapy is often recommended to strengthen the muscles around the sacroiliac joint, improve flexibility, and support a successful recovery.

How long will the benefits of Sacroiliac Joint Fusion last?

Many patients experience long-lasting relief from pain and improved mobility, but individual outcomes can vary. Adhering to post-operative care and lifestyle modifications can enhance the long-term success of the procedure.

What are the risks of Sacroiliac Joint Fusion?

Sacroiliac Joint Fusion is a safe procedure, but as with any surgical procedure, it carries some risks. These may include infection, bleeding, nerve damage, or complications related to anesthesia. There is also a risk that the bones may not fuse properly, which could result in continued pain or the need for additional surgery. However, these risks are generally low, especially when the procedure is performed by an experienced surgeon. Our doctors will discuss all potential risks with you before the surgery to ensure you are fully informed.

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at Spine & Pain Institute Los Angeles

Sacroiliac Joint Fusion at Spine & Pain Institute Los Angeles offers a promising solution for patients struggling with chronic sacroiliac joint pain. Our expert team is dedicated to providing personalized care and effective treatments to enhance your quality of life.

Don’t let persistent pain hold you back any longer. Take the first step towards a more comfortable and active life. Contact us today to schedule your consultation and discover how Sacroiliac Joint Fusion can help you regain mobility and alleviate discomfort. Your path to relief starts here—reach out now and begin your journey to a pain-free future!
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