Bilateral Fixation of SI Joints with Cannulated Screws Percutaneously

Sacroiliac (SI) Joint Pathology Case Study Series

David Weiss, MD, Vicki Sims, PT, CHT

Gainesville, GA

Patient Record

The patient is a 69-year old female who was referred to Gainesville Physical Therapy in August 2010 for conservative treatment of Sacroiliac Joint Dysfunction, which did not resolve her symptoms.

History	LBP for 6 years after falling on buttocks
Symptoms	Pain moderate to severe 80% of the time.
Limitations	Could walk for only short distance Sustained positions
Tests	MRI EMG: Negative for piriformis syndrome and lumbar radiculopathy
Prior Treatment	She was treated with a conservative program of physical therapy for scoliosis stabilization, which included mobilizing the joint into correct position, postural taping, SI belt, and pelvic stabilization exercises.
Co-existing Problems	Bulging disc at L4-5
Surgical Intervention	November 16, 2010
6 Months Post-op	Functional Level: Gardening Kayaking Daily Chores Shopping House Cleaning Walking 2.5 miles 5 days per week Yoga twice a week Pain Level: No symptoms

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