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Surgery for the Painful, Dysfunctional Sacroiliac Joint: A Clinical Guide.

Tác giả: Dall, Bruce E.; Eden, Sonia V.; Rahl, Michael D.

Chủ đề:

Chủ đề: Medicine; Surgery; Sacroiliac Joint

Nhà xuất bản: Springer

Năm xuất bản: 2015

Loại tài liệu: Book

Mô tả vật lý: 193 p.

Định danh: 978-3-319-10726-4

Ngôn ngữ: en

Đọc trực tuyến

Tải tài liệu

Filling a significant knowledge gap, this book brings the latest information to the evaluation and treatment of patients with a dysfunctional sacroiliac (SI) joint. Beginning with an overview of current anatomical knowledge and the role of pain and surgery, diagnosis and treatment approaches are carefully presented as individual chapters - featuring the origin of each surgical approach, the approach itself, its literary foundation, and overall available results. The final emphasis of the book is on post-operative concerns - including complications, bracing options, rehabilitation and managing patient expectations. Spine surgeons, physical therapists, and other professionals who treat the SI joint will find Surgery for the Painful, Dysfunctional Sacroiliac Joint to be an invaluable resource.

Cover
Title page
Preface
Contents
Contributors
1: Introduction
- Current Literature
- Definition of a Dysfunctional Sacroiliac Joint
- Introduction
- Current Education and Societal Commitments for This Condition
- Sources of Information for This Textbook
- The FDA and Surgery for the Sacroiliac Joint
- The Philosophical Approach for the Creation of This Textbook
- “Off-Label” Uses of Products
- Book Objectives
- References
2: Surgical Treatment for the Painful, Stable Sacroiliac Joint: What Does the Literature Tell Us?
- Introduction
- Methods Used to Review the Literature
- Results of the Literature Review
  - Open, Dorsal Approach
  - Minimally Invasive Dorsal Approach
  - Minimally Invasive Lateral Approach
- Discussion
- Conclusion
- References
3: Anatomy and Biomechanics
- Introduction
- Osseous Anatomy
  - Sacroiliac Joint
  - Sacrum
  - Pelvis
- Ligaments
  - Anterior Ligaments
  - Posterior Ligaments
- Muscles
  - Anterior Muscles
  - Posterior Muscles
- Vasculature
  - Anterior Vasculature
  - Posterior Vasculature
- Nerves
  - Anterior Nerves
  - Posterior Nerves
- Biomechanics of the Sacroiliac Joint
- References
- Summary
4: Biomechanics of the Injured SIJ: Results from an In Vitro Study
- Hypothesis
- Introduction
- Materials and Methods
  - Specimen Preparation
  - Flexibility Testing
  - Range of Motion
  - Surgical Reconstruction Groups
- Statistical Analysis
  - Variables with Statistical Significance
- Conclusions Verses Hypothesis
- Clinical Importance of Study Conclusions
- Conclusion
- Discussion
- References
5: Pathology of the Sacroiliac Joint Leading to Surgery
- Importance of an Accurate Diagnosis
- Introduction
- Pathologic Conditions That Responded Positively to Fusion
  - Degenerative Osteoarthritis (OA)
  - Inflammatory Arthritis
    - Case Example of RA Affecting the SIJ
  - Postpartum SIJ Dysfunction
    - Case Example
  - Aggressive Iliac Bone Graft (IBG) Harvesting
  - Sacral Osteoporosis
  - LSTV and the SIJ
  - Failed Attempt at Previous SIJ Fusion
  - LS Fusion, Especially with Instrumentation
  - Idiopathic Pain in the Normal-ưAppearing SIJ
- Conclusion
- References
6: Algorithm for the Diagnosis and Treatment of the Dysfunctional Sacroiliac Joint
- Introduction
- The Algorithm
  - Diagnosis
  - First Things First
  - A Word on Dyspareunia
  - Clinical Exam
  - Treatment
    - Conservative Treatment Prior to Imaging or Injections
    - Imaging Studies
    - Injections
      - A Two-Way Street
      - Diagnostic Part of the Injection
      - Injections and Radiating Leg Pain
      - Intra- Versus Extra-articular Injections
      - The Injection Specialist
      - When Injections Are Enough
    - Manipulation
    - Physical Therapy
  - More Invasive, Complex, and Costly Treatments
    - Alternative Treatments
    - Fusion
    - A Word About Postoperative Narcotics in the “Chronic Pain Patient”
    - Restrictions After Fusion of the SIJ
  - Chronic Pain Management
- Conclusion
- References
7: Considerations for the Surgeon New to Sacroiliac Joint Surgery
- Introduction
- The Borgess Brain and Spine Institute Experience
- Important Considerations When Operating on the Dysfunctional SIJ
  - Three-Dimensional Orientation of the Joint
  - Considerations When Imaging in the Anterior–Posterior Plane
  - Location and Importance of the Cluneal Nerves, Sciatic Nerve, and Superior Gluteal Artery
  - Osteoporosis and Its Ramifications
  - Patient Demographics and Ramifications for Results
  - Bilateral Fusion Considerations
  - Should the Joint Be “Realigned” Before Fusion Surgery?
  - Fusing Both the Lumbar Spine and the SIJ: Considerations
  - The Morbidly Obese Patient
  - Why Rehabilitate?
  - Different Approaches for Different Surgeons
- Conclusion
- References
8: Lateral Approach, Minimally Invasive
- Indications and Current Uses
- Introduction
- Literature Review
- Contraindications
- Lateral Minimally Invasive Approach, Step by Step
  - Step 1: Positioning
  - Step 2: Intraoperative Image Planning
  - Step 3: Skin Marking
  - Step 4: Guide Wire Placement
  - Step 5: Tubular Retractor Placement
  - Step 6: Hardware Placement
  - Step 7: Additional Guide Wire Placement
  - Step 8: Closure
- Complications and Reoperations
- Postoperative Management
- Chapter Summary
- References
9: Posterior Midline Approach
- Introduction
- Literature and Historical Review
- Relative Indications and Contraindications
- Posterior Midline Approach: Step by Step
  - Step 1: Positioning
  - Step 2: Incision
  - Step 3: Identification and Separation of the Fascial Layers
  - Step 4: Exposure of the PSIS
  - Step 5: Removal of Bone and Posterior Ligaments
  - Step 6: Placing Cage or Bone Dowel into Longitudinal Axis of the Joint
  - Step 7: Placing S1 Pedicle Screw
  - Step 8: Placing Iliac Screw
  - Step 9: Bone Grafting, Placing Rod, and Compression
  - Step 10: Tight Closure and Drain
  - Step 11: Postoperative Management
- Complications and Reoperations
- Off-Label Uses of Products
- Outcomes for the Posterior Midline Approach
- Procedural Data
- Satisfaction and Function Statistics
- What Is the Effect of Performing This Procedure Bilaterally?
- What Is the Effect of Performing This Procedure Concurrently with a Lumbosacral Fusion?
- What Type of Patient Is Least Likely to Benefit from This Procedure?
- What Type of Patient Is Most Likely to Benefit from This Procedure?
- Chapter Summary
- Salvage Surgery for a Failed Posterior Midline Approach as Described in This Chapter
- References
10: Posterior Lateral into the Longitudinal Joint Axis Approach: Minimally Invasive
- Etiology of Procedure and Literature Review
- Introduction
- Indications and Contraindications for Procedure
- Posterior Lateral into the Longitudinal Axis of the Joint: Minimally Invasive Approach, Step by Step
  - Step 1: Preoperative Preparation
  - Step 2: Positioning
  - Step 3: Incision
  - Step 4: Preparing the Space for the Cage
  - Step 5: Insertion of Cage
  - Step 6: Insertion of Second Cage
  - Step 7: Closure
  - Step 8: Postoperative Management
- Complications and Reoperations
- Off-Label Use of Products
- Procedural Data
- Salvage Surgery for a Failed Posterior Lateral into the Longitudinal Axis of the Joint Minimally Invasive Approach Procedure
- Satisfaction, Pain, and Functional Statistics
- What Is the Effect of Performing This Procedure Bilaterally?
- What Is the Effect of Performing This Procedure with a Lumbosacral Fusion?
- Method for Using This Approach for Aspiration and Biopsy
  - Procedure
- Chapter Summary
- Reference
11: Posterior Lateral Open Approach for Sacroiliac Joint Arthrodesis
- Historical Background
- Introduction
- Indications for Open Transiliac Approach
- Relative Advantages and Disadvantages of Transiliac Approach vs. Other Open Approaches
- Description of Technique of Open Posterior Lateral (Transiliac) Approach to the SIJ
- Results
- Complications
- Posterior Lateral Open Approach vs. Minimally Invasive Approaches
- Conclusions
- References
12: Posterior Inferior Approach, Minimally Invasive
- Introduction
- Pain and the SIJ
- Surgical Techniques for Fusing the SIJ
  - Open Procedures
  - Minimally Invasive Surgical (MIS) Techniques
  - Author’s Experience with Minimally Invasive SIJ Fusions
- Posterior Inferior Fusion-Minimally Invasive Surgical (PIF-MIS) Technique of the SIJ
- Case Study Examples
  - Case Study Example 1
  - Case Study Example 2
  - Case Study Example 3
- Conclusion
- References
13: The Sacroiliac Joint and Long Lumbosacral Fusions
- Adjacent Segment Disease
- Implications of Long Fusions to the Sacrum
- Introduction
- Effects of Associated Iliac Bone Graft Harvesting
- Positive Sagittal Balance, Especially in Elderly Patients
- Sacroiliac Joint Fixation with Long Lumbosacral Fusions
- Case Study
- Conclusion
- References
14: Postsurgical Rehabilitation
- Guidelines for Rehabilitation
  - Phase 1, Weeks 15
  - Phase 2, Weeks 611
    - Evaluation
    - Correcting Tissue and Joint Dysfunction
    - Pain Control and Tissue Remodeling
    - Stabilization
    - Mobility
  - Phase 3, Weeks 1219
  - Phase 4, Weeks 20 and Up
- Introduction
- Summary
- References
15: Complications of Sacroiliac Joint Fusion and Salvage Considerations
- Complications Specific to SIJ Fusion
  - The Original Postero Lateral Long Arc Incisional Approach
  - The Anterior Approach
  - The Posterior Approach
  - The Direct Lateral Approach
- Generalities
- Introduction
- CT Scanning Considerations
- Salvage
- When Pain Returns
- Conclusion
- References
16: Round-Table Discussion, April 2, 2014
- Reference
Appendix A LITERATURE SEARCH: Sacroiliac Joint Fusion SurgeryOutcomes/Complications
- PubMed Search
- EMBASE Search
- CINAHL Search
- Web of Science Search
Appendix B
Index