Authors: Jing Hern Khoo, Yin Teng Ng, Kamarul Izham Kamarudin, Leong Jiahour, Ahmad Fauzey Kassim.
ABSTRACT
Sacroiliac joint (SIJ) dysfunction refers to the aberrant position or movement of SIJ structures that may cause low back pain. We report a case of right SIJ dysfunction, which was successfully managed by SIJ cannulated screw fixation and transiliac interpedicular screw and rod.
A 30-year-old female was involved in a motor vehicle accident and sustained anterior column of the right acetabulum fracture, right inferior pubic ramus fracture along with right SIJ diasthesis. She presented to us with right hip and lower back pain which led to a clinical diagnosis of right SIJ dysfunction. She underwent right SIJ cannulated screw fixation and transiliac interpedicular rod. Post-operatively, she was able to ambulate better with improving pain score upon subsequent follow-up visits.
Although transiliac interpedicular rod and sacroiliac joint screw fixation have been utilized in cases of unstable pelvic injury, literatures of applying this method of fixation to manage SIJ dysfunction are still limited. This case therefore illustrates the potential of said fixation as a method of providing additional stability in cases of SIJ dysfunction.
Keywords: Sacroiliac joint, pain, dysfunction, transiliac interpedicular screw and rod, stability.
Citation: IeJSME 2021 15(1): 40-42