{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T17:55:17Z","timestamp":1783792517871,"version":"3.55.0"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T00:00:00Z","timestamp":1724371200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Sacroiliac joint (SIJ) dysfunction can occur as a result of injury, degeneration, or inflammation. This dysfunction presents symptoms of pain at various locations, including the low back, hips, buttocks, and legs. The diagnosis of SIJ dysfunction is challenging and cannot be achieved solely with imaging studies such as X\u2010rays, MRI, or CT. The current gold standard diagnostic modality is intra\u2010articular SIJ blocks using two differing local anesthetics. Current treatments for SIJ dysfunction may be beneficial for short\u2010term relief but lack long\u2010term efficacy. The purpose of our study was to examine the outcomes of patients who underwent minimally invasive, posterior SIJ fusion using allograft at a single center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective study which received exemption from the WCG IRB. Data regarding preoperative and postoperative pain levels, surgical time, complications, and medication usage were obtained retrospectively from patient electronic medical records and prescription drug monitoring program reports. No mapping was completed prior to the procedure. Pain was assessed with the 11\u2010point (0\u201310) Visual Analogue Scale (VAS) and medication usage was assessed using Morphine Milligram Equivalents (MME). Patients were included if they had been diagnosed with SIJ dysfunction using two intra\u2010articular diagnostic blocks that resulted in at least an 80% decrease in pain and had failed conservative management. Patients with sacral insufficiency fractures were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>VAS scores reduced from 8.26 (SD\u2009=\u20091.09) at baseline to 2.59 (SD\u2009=\u20092.57), 2.55 (SD\u2009=\u20092.56), 2.71 (SD\u2009=\u20092.88), and 2.71 (SD\u2009=\u20092.88) at 3, 6, 9, and 12\u2009months, respectively. MME reduced from 78.21\u2009mg (SD\u2009=\u200951.33) to 58.95\u2009mg (SD\u2009=\u200948.64), 57.61\u2009mg (SD\u2009=\u200947.92), 61.71\u2009mg (SD\u2009=\u200945.64), and 66.29\u2009mg (SD\u2009=\u200951.65) at 3, 6, 9, and 12\u2009months, respectively. All reductions in VAS scores and MME were statistically significant. No adverse events occurred, and the average operating room time was 40.16\u2009min (SD\u2009=\u20096.27).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Minimally invasive, posterior SIJ fusion using allograft is a safe and efficacious method for managing SIJ dysfunction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.13406","type":"journal-article","created":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T09:26:24Z","timestamp":1724405184000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Clinical outcomes for minimally invasive sacroiliac joint fusion with allograft using a posterior approach"],"prefix":"10.1111","volume":"25","author":[{"given":"Robert","family":"Moghim","sequence":"first","affiliation":[{"name":"Colorado Pain Care  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Bovinet","sequence":"additional","affiliation":[{"name":"The Spine Center of Southeast Georgia  Brunswick Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9524-4308","authenticated-orcid":false,"given":"Max Y.","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University of Wisconsin\u2010Madison  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Edwards","sequence":"additional","affiliation":[{"name":"Colorado Pain Care  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9890-7860","authenticated-orcid":false,"given":"Alaa","family":"Abd\u2010Elsayed","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University of Wisconsin\u2010Madison  Madison Wisconsin 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