SI (Sacroiliac) joint fusion
surgery treatment
in Mumbai
SI joint fusion involves drilling a small hole through the ilium to gain access to the joint. The sacroiliac joint is liberated of ligaments and muscles, and a bone graft and surgical implants are placed through the joint to enable bone growth. This fusion surgery is not as popular as other fusion procedures, but this article can help you learn more about SI joint fusion surgery treatment in Mumbai.
What is an SI joint?
- The location of the SI (sacroiliac) joint is at the sacrum and ilium, which meet the lower back.
- When inflammation occurs in one or both of the sacroiliac joints, it's called sacroiliitis.
- This may result in a sharp pain that radiates all over the hips and pelvis to the lower back and thigh region.
- Sacroiliac joint pain, or sacroiliitis, is very common and causes lower back or leg pain and discomfort.
What causes SI joint pain?
An impulsive effect, such as trauma, accident, or fall, can damage your sacroiliac joints.
This is usually referred to as “scarolities” (SI joint dysfunction).
Other than this, there are more factors responsible for causing SI joint pain. These include:
- Osteoarthritis : It is joint pressure below the cartilage, basically related to aging; it affects the SI joint and later results in back pain.
- AS (Ankylosing Spondylitis) : An autoimmune disorder caused by arthritis inflammation.
- Pregnancy : During the pregnancy stage, women are more likely to have arthritis in the SI joint.
- Gout : It is a general type of inflammatory arthritis, often affecting the appendicular skeleton. It rarely affects the axial skeleton, SI joints, and other joints.
- Walking style : Your walking style may be one of the causes of SI joint pain.
What symptoms are experienced with SI joint pain?
The following are some of the signs and symptoms associated with SI joint pain:
Before starting the treatment, your doctor is likely to perform some physical tests to check your muscle stability and go through your medical history.
Some neurological tests are performed to review your muscle strength, reflexes, ability to walk, and the sensation of light touches or vibrations.
- Groin pain
- Numbness and weakness at the affected site
- Lower back pain or discomfort
- Discomfort in the buttocks, pelvis, and hips region
- Difficulty while doing any basic task, such as walking or standing.
- Burning sensation and immobility in the pelvis region
- Pain extending down towards thighs and upper legs part
- You may also feel clasps in your legs
- Limited pain to a single SI joint only.
How is the diagnosis process done before the SI joint fusion surgery treatment?
The SI joint fusion surgery diagnosis process begins with the following tests, which include:
Medical history
Your doctor will go through your medical history, including past injuries and medication courses.
The overall daily routine, such as workouts, sleep habits, diet, and so on
Physical test
A physical test includes mobility checks of the arms, back, or legs for recognizing the cause and suggesting suitable treatment for it.
Generally, a single-movement checkup is enough for an examination.
Still, several mobility checkups can help in finding detailed information on sacroiliac joint pain.
Imaging test
An imaging test provides images of the affected area that causes pain and discomfort in the lower back region.
The diagnostic imaging test includes an X-ray, a CT (computed tomography) scan, and an MRI (magnetic resonance imaging) test.
Furthermore, imaging tests aren’t successful in producing clear images of SI joints and aren’t even used for all the diagnostic procedures in this case.
Injection test
The injection test is the last step performed to finalize the SI joint diagnosis procedure.
During this process, general anesthesia will be injected into the joint cavity (space) via the buttock or lower back region.
After the injection, if the affected part stops causing pain, then it’s confirmed that the SI in the joint is the only reason for the pain in the back.
What is the procedure for SI joint fusion surgery treatment in Mumbai?
The minimally invasive fusion has been successful with the implant system for SI joint fusion procedures.
This is one of the common methods for lessening undue motions in joint fusion, minimizing pelvic motion, and relieving lower back pain and discomfort.
The minimally invasive procedure hardly lasts for an hour and has fewer complications and risk factors.
Fluoroscopic imaging is used during the procedure to guide in placing the implant instruments for preparing SI joints.
The SI joint fusion includes six steps in the whole procedure:
Step1: General anesthesia
Firstly, the patient is laid down and provided with general anesthesia for sedation throughout the fusion process.
A small incision of 2-3 inches is made on the affected area( at the side of the buttock and gluteal muscles to separate and access the ilium)
After this, a small guide pin will be inserted through the side of the ilium to develop a small cavity that helps in accessing the ilium.
Later, the opening is surfaced or drilled through the ilium to create a passage for the implant systems in the scar.
Bone grafting is considered an important step because, when the sacroiliac joint fusion procedure is unclogged, cartilage, soft tissues, and bone graft are covered in the joint cavity.
Usually, the bone grafts are collected from another area of the ilium.
The implant tools are guided through the ilium and inserted with the help of screws and pins.
Before closing the wound, an incision site is cleaned with a saline solution to remove the residue and avoid further complications.
Lastly, the incision is secured with standard sutures.
Which is the best clinic for SI joint fusion surgery treatment in Mumbai?
SI joint fusion surgery treatment in Mumbai is still in its roots; it is an innovative surgery that is not available in every clinic. At One Spine Clinic, we have world-class spine specialists who provide standard treatments with effective results. SI joint pain can lower the quality of your life; hence, contact us to get the best SI joint fusion surgery treatment in Mumbai.
conditions
Surgery
- spinal fusion
- spinal reconstruction
- Microdiscectomy
- Laminectomy
