What if fusion fails?

Abstract

Minimally invasive sacroiliac joint fusion and fixation are effective treatment options for chronic low back pain that is mediated by sacroiliac joint pathology. Numerous factors related to either the patient or the device/fusion approach can predispose to fusion failure. It is imperative to identify these modifiable risk factors and address them appropriately. Currently, there is a dearth of literature regarding optimal treatment options in cases of sacroiliac joint fusion failure. Treatment options for sacroiliac joint fusion failure such as neuroablation, neuromodulation, and surgical revision, either open or using minimally invasive technique, can be considered in patients with sacroiliac joint fusion failure.