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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.
Table of Contents
1 Introduction .................................................................................. 1
Bruce E. Dall
2 Surgical Treatment for the Painful, Stable
Sacroiliac Joint: What Does the Literature Tell Us? ................ 7
Sonia V. Eden
3 Anatomy and Biomechanics ........................................................ 15
Michael D. Rahl
4 Biomechanics of the Injured SIJ: Results from an
In Vitro Study ............................................................................... 37
Bruce E. Dall, Sonia V. Eden, Brandon Bucklen,
Mark Moldavsky, and Robert W. Mcnutt
5 Pathology of the Sacroiliac Joint Leading to Surgery .............. 45
Bruce E. Dall and Arnold Graham Smith
6 Algorithm for the Diagnosis and Treatment
of the Dysfunctional Sacroiliac Joint .......................................... 57
Bruce E. Dall, Sonia V. Eden, Michael D. Rahl,
and Arnold Graham Smith
7 Considerations for the Surgeon New to Sacroiliac
Joint Surgery ................................................................................ 69
Bruce E. Dall
8 Lateral Approach, Minimally Invasive ...................................... 83
Sonia V. Eden
9 Posterior Midline Approach ........................................................ 91
Bruce E. Dall
10 Posterior Lateral into the Longitudinal Joint Axis
Approach: Minimally Invasive .................................................... 107
Bruce E. Dall
11 Posterior Lateral Open Approach for Sacroiliac
Joint Arthrodesis .......................................................................... 119
Michael R. Moore
12 Posterior Inferior Approach, Minimally Invasive ..................... 133
E. Jeffrey Donner
13 The Sacroiliac Joint and Long Lumbosacral Fusions .............. 151
David W. Polly, Jr.
14 Postsurgical Rehabilitation ......................................................... 159
Michael D. Rahl
15 Complications of Sacroiliac Joint Fusion
and Salvage Considerations ........................................................ 171
Arnold Graham Smith
16 Round-Table Discussion, April 2, 2014 ...................................... 175
E. Jeffrey Donner
Appendix A ........................................................................................... 185
Appendix B ........................................................................................... 191
Index ...................................................................................................... 195
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