ISASS Policy Statement – Minimally Invasive Sacroiliac Joint Fusion (December 2015) Updated December 4, 2015 (This supplements the ISASS Policy Statement – Minimally Invasive Sacroiliac Joint Fusion (2014)) Morgan P. Lorio, MD, FACS Neuro-Spine Solutions, Bristol, TN A PDF version of the policy statement is available here. Introduction The sacroiliac joint (SIJ) is a cause of chronic lower back pain. SI joints are paired diarthrodial articulations of the sacrum and ilium. The SI joint serves as the biomechanical mediator between the spine and pelvis. The subchondral bone, capsule, and surrounding ligaments of the SIJ are innervated by spinal nerves.(1) Because SIJ pain can be confused with lumbar and hip pain, proper diagnosis of SIJ pain is key to appropriate patient
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