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failed si joint fusion

sadzafacessadzaface Posts: 8
edited 06/11/2012 - 8:55 AM in Sacroiliac (SI) Joint Problems
Hi everyone, I have been posting about my si joint fusion which I had in december 2010. It was a long and very painful recovery but I stayed positive about it all, and followed my drs instructions to a T. I was nonweight bearing for 3/mths, and didn't so much as put my foot on the ground for that time.. I had incredible support from my family. Whenever I saw my dr, he took x rays and was very happy with the new bone growing. Then I had a CT done 2 weeks ago, and it has been decided that the bone didn't bridge across the joint. Now I have to go through another 6 mths recovery after attempt. When the first fusion was done, my dr told me that he was concerned because my bones are soft and because of that he couldn't tiighten the screws as much as he would have wanted. So as a result, there was micro movement in the joint which prevented the bridging. I'm not sure about how different this surgery will be done to prevent this problem again. I have emailed all my questions to my dr because at the time he told me it had to be redone, my brain froze. To say I'm mortified, depressed, devastated is minimizing how I feel, esp for my family. But at the same time, I'm grateful to have another chance. My main issue now is trying to cope with the stress and anxiety.


  • I'm so sorry. What a nightmare. I know what you mean by brain freeze. I write out questions before I go to an appointment. This Wednesday I have a follow-up with my surgeon regarding my cervical surgery, and he's going to review my lower back issues. I asked my husband to go with me. He's also a second set of ears to hear what is said.

    How did they determine the issue was in your SI? With my issues I'm not sure if it's SI or lower back. Any insight is appreciated.
    4 level ACDF C4-C7 5-2-11, laminectomy & discectomy L4-L5 1/26/12, ALIF L4-5, L5-S1 12/10/12.
  • This is very interesting. So your symptoms have not improved. Okay well lets discuss how the physician came up with the diagnosis of sacroiliac joint pain syndrome. Was it based on history and physical exam? Was it based on imaging only? If yes then these methods are accurate and sensitive enough to reasonably assume that the pain is emanating from the sacroiliac joint.

    If you has a diagnostic sacroiliac joint injection performed under xray guidance using contrast to confirm needle placement using a anesthetic only in the form of lidocaine or bupicivicaine of no more than 1.5 to 2.0 ml of fluid demonstrating greater than a 75 percent reduction of your painful symptoms with provocative movements or simple activities of daily living tasks. If yes was the diagnostic injection under xray repeated again for consistency of results? if yes and still having pain is your bone mineral density osteopenia or osteoporosis? If yes maybe you can get an MRI of the pelvis to evaluate for a sacral insufficiency fracture.

    Hope this helps. Best
    Amish R Patel DO, MPH
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