Retrospective Assessment of Early Changes in the Sacroiliac Joint After Posterior Lumbar Fusion Surgery via Magnetic Resonance Imaging and Computed Tomography

The need for lumbar–lumbosacral fusion surgery has increased in the recent decade. Although this type of surgical approach has been reported to provide better improvement in low back pain compared with conventional conservative treatments, the ratio of failure varies between 5% and 30% in different...

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Bibliographic Details
Published in:World neurosurgery 2018-12, Vol.120, p.e546-e550
Main Authors: Asil, Kiyasettin, Yaldiz, Can
Format: Article
Language:English
Subjects:
Aged
Disability Evaluation
Female
Follow-Up Studies
Humans
Low Back Pain - surgery
Lumbar Vertebrae - diagnostic imaging
Magnetic Resonance Imaging
Male
Middle Aged
Neurologic Examination
Pain Measurement
Retrospective Studies
Sacroiliac joint
Sacroiliac Joint - diagnostic imaging
Spinal Fusion
Spine
Tomography, X-Ray Computed
Treatment Failure
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Summary:The need for lumbar–lumbosacral fusion surgery has increased in the recent decade. Although this type of surgical approach has been reported to provide better improvement in low back pain compared with conventional conservative treatments, the ratio of failure varies between 5% and 30% in different studies. This retrospective study was conducted through screening patient files between January 2013 and January 2016. Preoperative and postoperative neurologic examination, Visual Analogue Scale, Oswestry Disability Index, and medical and surgical treatments of 66 patients were evaluated. The data from these 66 patients was included in this study. Of the patients, 28 were male and 38 were female. Mean age was 58.3 years for male and 60.1 years for female subjects. Mean duration of follow-up was 15 months. Our study has revealed that lumbosacral fusion surgery increases sacroiliac joint degeneration. We consider that magnetic resonance imaging is superior to computed tomography for detection of early stage sacroiliac joint degeneration. •Magnetic resonance imaging (MRI) is superior to CT for detecting SIJ-related pathologies.•2SIJ degeneration can be seen after fusion surgery.•A subchondral signal increase at the sacroiliac joint during MRI is a symptom of early degeneration.
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2018.08.127