Bilateral Fixation/Fusion of SI Joints with iFuse Implants on the Right and Cannulated Screws Percutaneously on the Left

Sacroiliac (SI) Joint Pathology Case Study Series

David Weiss, MD, Vicki Sims, PT, CHT

Gainesville, GA

Patient Record

The patient is a 29-year old female who was referred to Gainesville Physical Therapy in April 2011 for conservative treatment of Sacroiliac Joint Dysfunction, which did not resolve her symptoms.

History	LBP for 6 years after heavy, frequent lifting
Symptoms	No pain reported in the morning. Pain would begin around noon on the days that she worked. The symptoms were at their worst in the evenings. The pain is described as a strong ache in the right buttock and sharp pain (pain level 8-10) over the right SI joint and sacrum during transitional movement and turning over in bed.
Limitations	Able to work, but not able to do exercise or participate in social activities after work
Tests	MRI: Negative EMG: Negative SI Injection: Positive on the right
Prior Treatment	Multiple physical therapy sessions, chiropractic care, 10 sessions of prolotherapy, pain medication, SI injection, lateral branch neurotomy, medial branch block L4-5
Co-existing Problems	None
Surgical Intervention	June 28, 2011
5 Months Post-op	Functional Level: None Pain Level: None

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