Surgery for the Painful, Dysfunctional Sacroiliac Joint (eBook)

Bruce E. Dall, MDOrthopedic Spine SurgeonBorgess Brain and Spine InstituteWestern Michigan University School of MedicineKalamazoo, MIUSASonia V. Eden, MDNeurosurgeon Borgess Brain and Spine InstituteWestern Michigan University School of MedicineKalamazoo, MIUSAMichael D. Rahl, PT, DPT, OCS, CSCSPhysical TherapistFull Potential Physical TherapyHolland, MIUSADr. Dall has spent the past twenty-five years in private and academic medical settings diagnosing and treating patients with sacroiliac joint pain. He has published several articles in major peer review journals on his work with this subject and has contributed new techniques and ideas for diagnosing and treating the patient with a painful, dysfunctional sacroiliac joint. He has shown how factors such as a previous failed lumbar fusion, chronic illness, obesity and chronic pain can make these patients special challenges for the surgeon. He continues to be very active in this area by recently publishing an algorithm for the diagnoses and treatment of sacroiliac joint dysfunction, publishing extensive long-term follow-up studies on surgical outcomes for this condition, and working with engineers in the cadaver lab to answer questions concerning stress analysis in the pathologic sacroiliac joint, how that changes with surgery and how that is affected by fusion of adjacent joints. These are all firsts concerning the current knowledge base for the sacroiliac joint.

Chapter 1IntroductionChapter 2Surgical Treatment for the Painful, Stable Sacroiliac Joint: What does the literature tell us?Chapter 3Anatomy & BiomechanicsChapter 4Biomechanics of the injured SIJ: results from an in vitro study Chapter 5Pathology of the sacroiliac joint leading to surgeryChapter 6Algorithm for the diagnosis and treatment of the dysfunctional sacroiliac jointChapter 7Considerations for the surgeon new to sacroiliac joint surgeryChapter 8Lateral approach, minimally invasiveChapter 9Posterior midline approach Chapter 10Posterior lateral into the longitudinal joint Axis approach, minimally invasiveChapter 11Posterior Lateral Open Approach For Sacroiliac Joint ArthrodesisChapter 12Posterior-inferior approach, minimally invasiveChapter 13The Sacroiliac Joint and Long Lumbosacral FusionsChapter 14Post-Surgical RehabilitationChapter 15Complications of sacroiliac joint fusion and salvage considerationsChapter 16Round table discussion 4/2/14.