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What is the Sacroiliac (SI) Joint?

The sacroiliac (SI) joint connects the sacrum—the triangular bone at the base of your spine—to the ilium, which forms the sides of your pelvis. These joints are responsible for distributing weight between your upper body and legs and play a crucial role in stability and mobility. Despite their limited range of motion, SI joints can become a source of chronic pain due to injury, inflammation, or degeneration.

Causes of SI Joint Pain

SI joint pain can be caused by various factors, including:

Degenerative Arthritis

Over time, wear and tear on the SI joint can lead to arthritis, resulting in pain and inflammation.

Trauma or Injury

Accidents, falls, or sports-related injuries can damage or destabilize the SI joint.

Pregnancy

Hormonal changes during pregnancy can cause increased mobility and stress on the SI joint, leading to discomfort.

Spondylolisthesis

This condition occurs when one vertebra slips over another, placing strain on the SI joint and causing pain.

Inflammation

Infections or inflammatory conditions like sacroiliitis can cause significant pain in the SI joint.

When is SI Joint Fusion Surgery Recommended?

SI Joint Fusion surgery is typically considered when conservative treatments, such as physical therapy, medications, or injections, have failed to provide adequate relief. Surgery may be recommended if:

  • You have persistent pain in the SI joint that hasn't improved with non-surgical treatments.
  • The pain is severe enough to impact your daily life and mobility.
  • Diagnostic imaging and injections confirm the SI joint as the primary source of pain.
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What is SI Joint Fusion Surgery?

SI Joint Fusion, also known as SI Joint Arthrodesis, is a surgical procedure designed to stabilize the sacroiliac joint by permanently fusing the bones together. By eliminating movement in the joint, the surgery significantly reduces pain and improves function. At Gerling Spine Care NJ, we use the latest minimally invasive techniques to ensure a quicker recovery and less post-operative discomfort. These techniques include:

Minimally Invasive SI Joint Fusion

This approach uses small incisions and specialized instruments to remove damaged tissue and insert implants, such as screws or rods, to stabilize the SI joint and promote fusion.

Bone Grafting and Implantation

Bone graft material may be added to encourage the bones to fuse naturally while implants maintain stability.

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SI Joint Fusion Procedure

SI Joint Fusion surgery is typically performed under general anesthesia and takes about 1 to 2 hours. Here’s what to expect during the procedure:

  • Incision: Small incisions are made on the side of the hip to access the SI joint.
  • Joint Preparation: The surgeon removes any damaged or arthritic tissue and prepares the area for fusion.
  • Implantation: Depending on the technique used, implants such as screws or rods are inserted to stabilize the joint.
  • Final Adjustment and Closure: The surgeon ensures proper alignment before closing the incisions.

In many cases, patients can return home the same day or the day after surgery, depending on their recovery progress.

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Advantages of SI Joint Fusion Surgery

SI Joint Fusion surgery offers several benefits, including:

  • Long-Term Pain Relief: By stabilizing the joint, the surgery effectively eliminates the pain caused by SI joint instability or degeneration.
  • Improved Mobility: After surgery, many patients experience restored mobility and are able to return to normal activities without discomfort.
  • Minimally Invasive Approach: Our minimally invasive techniques lead to smaller incisions, less tissue disruption, and faster recovery times compared to traditional open surgery.
  • Quick Recovery: Most patients benefit from reduced hospital stays and faster return to daily activities, thanks to minimally invasive methods.

Post-Operative Care and Recovery

Recovery from SI Joint Fusion surgery varies by individual, but generally includes:

  • Hospital Stay: Most patients stay in the hospital for 1 to 2 days, though some may be discharged the same day if the procedure is minimally invasive.
  • Pain Management: Pain medications will be prescribed to manage discomfort during the initial recovery period.
  • Physical Therapy: Once healing has progressed, physical therapy may be recommended to strengthen the muscles around the joint and improve mobility.
  • Activity Restrictions: To promote proper healing, certain activities—such as heavy lifting or excessive bending—will be restricted during recovery.
  • Recovery Timeline: Most patients can return to light activities within a few weeks. Full recovery, as the fusion process continues, may take 6 to 12 months.

Risks and Complications

As with any surgery, there are risks associated with SI Joint Fusion, including:

  • Infection
  • Nerve damage
  • Blood clots
  • Implant failure or loosening
  • Non-union (failure of the bones to fuse)
  • Persistent pain or discomfort

At Gerling Spine Care NJ, we take every precaution to minimize these risks and ensure the best possible outcome for our patients.

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Why Choose Gerling Spine Care NJ?

At Gerling Spine Care NJ, we are dedicated to providing the highest quality of care for patients experiencing SI joint pain and other spinal conditions. Led by Dr. Michael Gerling, our team uses advanced surgical techniques and minimally invasive approaches to ensure the best results for each patient. We tailor our treatment plans to each individual's specific condition and goals, ensuring personalized care every step of the way.

If you’re struggling with chronic SI joint pain and conservative treatments have not been effective, contact Gerling Spine Care today to schedule a consultation for sacroiliitis treatment in New Jersey. Our expert team will work with you to develop a personalized plan to help alleviate your pain and improve your quality of life with SI Joint Fusion surgery.

Our Locations

Gerling Spinecare & Research Institute consists of NY Orthopedics & Gerling Institute NJ. Two practices, one standard of excellence.

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Relief starts with quality orthopedic care. Contact us today to take the next step toward a more active, pain-free life.

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