Report
A Unique Cause of Sacral Radiculopathy After Minimally Invasive Sacroiliac Joint Fusion: A Case Report
Pain medicine case reports, v 7(2), pp 53-58
Mar 2023
PMID: 40960328
Abstract
New technologies for sacroiliac joint fusion (SIJF) have demonstrated improvements in pain and function. Sacral radiculopathy is a reported complication. We present a unique case of S1 radiculopathy after lateral transiliac minimally invasive SIJF. The patient provided Health Insurance Portability and Accountability Act (HIPAA)-compliant consent for the inclusion of their clinical information in this report.
A 40-year-old woman with SI joint dysfunction underwent right-sided SIJF. She reported resolution of her preoperative symptoms but developed new pain radiating to the leg. A revision procedure provided initial relief, but her pain returned. Further imaging demonstrated displaced bone, rather than a misplaced implant, causing a narrowed S1 foramen. An open S1 foraminotomy was performed to further decompress the foramen, improving symptoms, allowing her to return to her previous activity level.
This case describes a previously unrecognized cause of S1 radiculopathy after minimally invasive SI fusion and supports open foraminotomy with neuronavigation as a potential method for treatment.
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Details
- Title
- A Unique Cause of Sacral Radiculopathy After Minimally Invasive Sacroiliac Joint Fusion: A Case Report
- Creators
- Jordan Norris - University of ToledoNathan Esplin - Allegheny General HospitalRosh Bharthi - Lake Erie CollegeDaniel Altman - Allegheny General HospitalNestor D Tomycz - Allegheny General Hospital
- Publication Details
- Pain medicine case reports, v 7(2), pp 53-58
- Resource Type
- Report
- Language
- English
- Academic Unit
- Orthopedic/Orthopaedic Surgery
- Other Identifier
- 991022116083704721