Surgery for sacroiliac joint dysfunction, is this a thing?

A nice surprise article from JBJS on low back pain. The image is CC by Wanderer99.

Low back pain has a history of failed trials supporting surgery (see Brox et al. and Fairbank et al.) and I was therefore thrilled when I encountered Dengler et al.’s randomized controlled trial (RCT) on sacroiliac joint dysfunction. They showed that arthrodesis outperformed conservative management both early and up to two years after surgery. Continue reading