Left Side Fixation of SI Joints with Cannulated Screws Percutaneously

Sacroiliac Joint (SI Joint) Pathology Case Study Series

Left Side Fixation of SI Joints with Cannulated Screws Percutaneously

David Weiss, MD, Vicki Sims, PT, CHT

Gainesville, GA

Patient Record

The patient is a 66-year old female who was referred to Gainesville Physical Therapy for conservative treatment of Sacroiliac Joint Dysfunction, which did not resolve her symptoms. She had an SI injection, multiple sessions of physical therapy and Chiropractic care with little to no success.

History 30-year history of LBP. She had an SI injection, multiple sessions or PT and Chiropractic care with success. Patient participated in a conservative PT program for SI stabilization without success.
Symptoms Constant left hip pain, radiating down posterior aspect of the left leg. Left SI pain along with inability to sit, drive, climb stairs and wear heels. Sustained positions increased pain. Pain was a constant 7-8
Limitations None
Tests
  • MRI
Prior Treatment None
Co-existing Problems Bulging disc L3-4, L4-5, L5-S1 (severe left foramina stenosis at L5-S1 with compression of left L5 exiting nerve), facet radiculopathy at L3-4, L4-5, L5-S1
Surgical Intervention November 9, 2010
6 Months Post-op
  • Functional Level:
    • Back to Normal
  • Pain Level:
    • Intermittent minor pain in left hip with certain activities otherwise pain free

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