Sacro-iliac stabilisation or fusion is a technique used to reduce micro-movement in this important but unusual joint. It is undertaken if you have symptoms of sacro-iliac pain, which will usually have been confirmed by a local anaesthetic block of the joint at an earlier stage.
Mr Cass uses a minimally invasive technique to perform a Sacro-iliac fusion, which is shown to reduce post operative pain, reduce blood loss during surgery, reduce recovery time as well as causing less damage to the surrounding tissues as the incisions are much smaller (typically 3-5 cm) than with open surgery.
The aim of the surgery is to stabilise the sacroiliac joint, which in turn provides greater stability to your pelvis. It involves the placement of a special titanium implant across the sacroiliac joint. This is done using a small incision over the hip area. Under X-ray guidance, special guide wires are then placed across the sacroiliac joint and these are used to guide the titanium implants. The implants keep the joints in place as the bones heal and fuse together.
The majority of Mr Cass’s patients will go home the following day, although occasionally you may stay another night in the hospital.
You will need to use crutches for 4 weeks following sacroiliac joint fusion surgery. A physiotherapist will review you on the ward to explain how to mobilise safely.
The results for this surgery are very good, and in extensive clinical trials, sustained improvements in pain reduction & functionality are seen in most patients. Over 80% of patients are satisfied with the results of surgery.