Turkish Neurosurgery 2010 , Vol 20 , Num 3
Sacroiliac Joint Dysfunction
Hakan İLASLAN1, Ahmet ARSLAN2, Omer Nadir KOÇ3, Turker DALKILIÇ4, Sait NADERI5
1,2,3,4Istanbul Medipol Hospital Department of Neurosurgery İstanbul, Turkey
5Ümraniye Training and Research Hospital, Department of Neurosurgery İstanbul, Turkey
DOI : 10.5137/1019-5149.JTN.2612-09.2 AIM: Sacroiliac joint dysfunction is a disorder presenting with low back and groin pain. It should be taken into consideration during the preoperative differential diagnosis of lumbar disc herniation, lumbar spinal stenosis and facet syndrome.

MATERIAL and METHODS: Four cases with sacroiliac dysfunction are presented. The clinical and radiological signs supported the evidence of sacroiliac dysfunction, and exact diagnosis was made after positive response to sacroiliac joint block.

RESULTS: A percutaneous sacroiliac fixation provided pain relief in all cases. The mean VAS scores reduced from 8.2 to 2.2.

CONCLUSION: It is concluded that sacroiliac joint dysfunction diagnosis requires a carefull physical examination of the sacroiliac joints in all cases with low back and groin pain. The diagnosis is made based on positive response to the sacroiliac block. Sacroiliac fixation was found to be effective in carefully selected cases. Keywords : Sacroiliac block, Sacroiliac fixation, Sacroiliac joint, Sacroiliac joint Dysfunction

Corresponding author : Sait Naderı, saitnaderi@yahoo.com