{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:41:14Z","timestamp":1791448874750,"version":"4.3.3"},"reference-count":65,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n \n \n \u00bb The sacroiliac joint (SIJ) is a common cause of low back pain and should be included in the differential diagnosis.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Nonoperative treatment of sacroiliac pain is always the first line of therapy; however, when it is unsuccessful and becomes chronic, then recurrent nonoperative treatment becomes expensive.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Surgical treatment is cost-effective in appropriately selected patients. High-quality clinical trials have demonstrated statistically and clinically significant improvement compared with nonsurgical management in appropriately selected patients.<\/jats:p>\n <\/jats:list-item>\n \n \u00bb Spinal fusion to the sacrum increases degeneration of the SIJ and frequency of SIJ pain.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>","DOI":"10.2106\/jbjs.rvw.23.00151","type":"journal-article","created":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T14:01:30Z","timestamp":1707141690000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["The Sacroiliac Joint"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7572-6584","authenticated-orcid":false,"given":"David W.","family":"Polly","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,2]]},"reference":[{"issue":"1","key":"r1-20240731","doi-asserted-by":"crossref","first-page":"E27","DOI":"10.1097\/BRS.0b013e31818b8882","article-title":"How often is low back pain not coming from the back?","volume":"34","author":"Sembrano","year":"2009","journal-title":"Spine (Phila Pa 1976)"},{"issue":"1","key":"r2-20240731","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1097\/00007632-199501000-00007","article-title":"The sacroiliac joint in chronic low back pain","volume":"20","author":"Schwarzer","year":"1995","journal-title":"Spine (Phila Pa 1976)"},{"issue":"suppl 1","key":"r3-20240731","doi-asserted-by":"crossref","first-page":"20","DOI":"10.14444\/6072","article-title":"Minimally invasive sacroiliac joint fusion: the current evidence","volume":"14","author":"Martin","year":"2020","journal-title":"Int J Spine Surg"},{"issue":"7","key":"r4-20240731","first-page":"477","article-title":"The Fortin finger test: an indicator of sacroiliac pain","volume":"26","author":"Fortin","year":"1997","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"r5-20240731","first-page":"73","article-title":"Sacroiliac joint pain: burden of disease","volume":"7","author":"Cher","year":"2014","journal-title":"Med Devices (Auckl)"},{"issue":"2","key":"r6-20240731","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/S0004-9514(14)60125-2","article-title":"Diagnosing painful sacroiliac joints. 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