ArticleAsian journal of neurosurgery2025
Incidence and Risk Factors of Sacroiliac Joint Pain Following Lumbar Surgery with and without Fusion in Patients with Spinal Stenosis and Low-Grade Degenerative Spondylolisthesis: A Nonrandomized Clinical Trial.
Article in Asian journal of neurosurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Failed back surgery syndrome affects 10 to 46% of lumbar spine surgery patients, often resulting in persistent pain and functional impairment. Sacroiliac joint pain (SIJP) is a significant contributor, particularly following spinal fusion. This study aimed to assess SIJP incidence following lumbar surgery with and without fusion, and identify risk factors for sacroiliac joint syndrome (SIJS). Materials and Methods: This prospective, nonrandomized clinical trial included 102 patients undergoing lumbar decompression alone (Dec group, Results: SIJP was diagnosed in 36.3% of patients, with significantly higher incidence in the DecPlus group (50%) compared with the Dec group (22%) ( Conclusion: Based on our study, lumbar instrumented posterolateral fusion, compared with decompression without fusion, should be considered a risk factor for SIJP. In patients with instrumented fusion, the UIV and the length of fusion are related to SIJP; however, extending fusion to S1 does not significantly affect SIJP incidence.
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