{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T20:04:54Z","timestamp":1772827494723,"version":"3.50.1"},"reference-count":56,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,12]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>The aim of this study was to determine the rate of postoperative new-onset sacroiliac joint pain (SIJP) following adult spinal deformity (ASD) surgery with pelvic fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Patients undergoing ASD surgery with pelvic fixation, without baseline SIJP, and with a minimum 1-year follow-up were included. Patients were screened for SIJP by self-reported buttock\/groin pain and\/or posterior superior iliac spine (PSIS) pain scores \u2265 4. Patients with positive results on questionnaires were indicated for an SIJ examination consisting of 5 provocative maneuvers with \u2265 3 positive examination findings considered to be indicative of SIJP. Types of pelvic fixation were then compared for rates of postoperative SIJP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total of 346 patients were identified, with mean age of 65 (SD 10) years and BMI of 28 (SD 5); 71% of patients were female. Thirteen patients (4%) underwent SIJ fusion at the index procedure. At the 1-year follow-up, 82 patients (24%) had positive screening responses for SIJP on the questionnaire; 63 underwent an SIJ examination and only 3 patients (1%) had a positive result. At the 2-year follow-up, 138 patients were administered the SIJP screening questionnaire; 31 (22%) had a positive questionnaire response for SIJP, 17 underwent an SIJ examination, and only 2 patients (1%) had a positive result. There was no difference in SIJP between patients with traditional iliac fixation (n = 162, 0% at 1 and 2 years) and S2-alar-iliac screws (n = 184), where 2% developed SIJP by 1 (p = 0.25) and 2 (p = 0.52) years, respectively. There was also no difference in SIJP between patients with 4 points of pelvic fixation (n = 85, 0% at 1 and 2 years) and patients with fewer than 4 points of pelvic fixation (n = 261), where 1% (p = 0.57) and 2% (p &gt; 0.99) developed SIJP at 1 and 2 years, respectively. Of the 79 patients with iliac crest harvesting, none developed SIJP at the 1- or 2-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Based on examination, the incidence of de novo SIJP following ASD surgery with pelvic fixation is low: only 1% at the 1- and 2-year follow-ups. The large discrepancy between at least moderate regional reported pain but a negative provocative examination warrants further investigation as to the source of substantial pain in nearly one-quarter of ASD patients postoperatively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2025.7.spine25454","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T17:12:15Z","timestamp":1770829935000},"page":"449-456","source":"Crossref","is-referenced-by-count":0,"title":["Incidence of de novo sacroiliac joint pain following adult spinal deformity surgery with pelvic fixation"],"prefix":"10.3171","volume":"44","author":[{"given":"Anthony L.","family":"Mikula","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, University of California, San Francisco, California;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert K.","family":"Eastlack","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Scripps Institute, La Jolla, California;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay D.","family":"Turner","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Barrow Neurological Institute, Phoenix, Arizona;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey P.","family":"Mullin","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Buffalo, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin K.","family":"Scheer","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Cedars-Sinai Medical Center, Los Angeles, California;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renaud","family":"Lafage","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginie","family":"Lafage","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaled M.","family":"Kebaish","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, Maryland;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric O.","family":"Klineberg","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of Texas Health Houston, Texas;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory M.","family":"Mundis","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Scripps Institute, La Jolla, California;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan H.","family":"Daniels","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Brown University, Providence, Rhode Island;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen J.","family":"Lewis","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Surgery, Department of Surgery, University of Toronto;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter G.","family":"Passias","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Duke University, Durham, North Carolina;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Themistocles S.","family":"Protopsaltis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan S.","family":"Uribe","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Barrow Neurological Institute, Phoenix, Arizona;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Munish C.","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Washington University, St. Louis, Missouri;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Han Jo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael P.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Rady Children\u2019s Hospital, San Diego, California;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin S.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Virginia, Charlottesville, Virginia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence G.","family":"Lenke","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Columbia University Medical Center, New York, New York; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher I.","family":"Shaffrey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Toronto Western Hospital, Toronto, Ontario, Canada;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shay","family":"Bess","sequence":"additional","affiliation":[{"name":"International Spine Study Group, Denver, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher P.","family":"Ames","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, San Francisco, California;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"J Spine Surg","first-page":"627","article-title":"The percentage of sacroiliac fusions done in the U.S. by non-surgical specialties has increased","volume":"10","author":"Cyriac M","year":"2024","unstructured":"Cyriac M, Delvadia BP, Winter JE, Budin JS, Lee OC, Sherman WF. The percentage of sacroiliac fusions done in the U.S. by non-surgical specialties has increased. J Spine Surg. 2024;10(4):627\u2013634."},{"key":"b2","series-title":"World Neurosurg","first-page":"e15","article-title":"Randomized trial of augmented pelvic fixation in patients undergoing thoracolumbar fusion for adult spine deformity: initial results from a multicenter randomized trial","volume":"187","author":"Polly D","year":"2024","unstructured":"Polly D, Mundis G, Eastlack R,  Randomized trial of augmented pelvic fixation in patients undergoing thoracolumbar fusion for adult spine deformity: initial results from a multicenter randomized trial. World Neurosurg. 2024;187:e15\u2013e27."},{"issue":"1","key":"b3","series-title":"Spine (Phila Pa 1976)","first-page":"E27","article-title":"How often is low back pain not coming from the back?","volume":"34","author":"Sembrano JN","year":"2009","unstructured":"Sembrano JN, Polly DWJ. How often is low back pain not coming from the back? Spine (Phila Pa 1976). 2009;34(1):E27\u2013E32."},{"issue":"3","key":"b4","series-title":"J Neurosurg Spine","first-page":"320","article-title":"Biomechanical effects of a novel posteriorly placed sacroiliac joint fusion device integrated with traditional lumbopelvic long-construct instrumentation","volume":"35","author":"de Andrada Pereira B","year":"2021","unstructured":"de Andrada Pereira B, Lehrman JN, Sawa AGU,  Biomechanical effects of a novel posteriorly placed sacroiliac joint fusion device integrated with traditional lumbopelvic long-construct instrumentation. J Neurosurg Spine. 2021;35(3):320\u2013329."},{"issue":"6","key":"b5","series-title":"J Neurosurg Spine","first-page":"997","article-title":"Is L5\/S1 interbody fusion necessary in long-segment surgery for adult degenerative scoliosis? A systematic review and meta-analysis","volume":"36","author":"Cavagnaro MJ","year":"2022","unstructured":"Cavagnaro MJ, Orenday-Barraza JM, Khan N,  Is L5\/S1 interbody fusion necessary in long-segment surgery for adult degenerative scoliosis? A systematic review and meta-analysis. J Neurosurg Spine. 2022;36(6):997\u20131004."},{"issue":"1","key":"b6","series-title":"J Neurol Surg A Cent Eur Neurosurg","first-page":"15","article-title":"Persistent iliosacral joint syndrome following instrumentation to the sacropelvis in patients with adult spinal deformity","volume":"80","author":"Diesing D","year":"2019","unstructured":"Diesing D, Franke J, Tschoeke SK, Schulthei\u00df R, Scheufler KM. Persistent iliosacral joint syndrome following instrumentation to the sacropelvis in patients with adult spinal deformity. J Neurol Surg A Cent Eur Neurosurg. 2019;80(1):15\u201325."},{"key":"b7","series-title":"Clin Neurol Neurosurg","first-page":"18","article-title":"Impact of sacropelvic fixation on the development of postoperative sacroiliac joint pain following multilevel stabilization for degenerative spine disease","volume":"150","author":"Finger T","year":"2016","unstructured":"Finger T, Bayerl S, Bertog M, Czabanka M, Woitzik J, Vajkoczy P. Impact of sacropelvic fixation on the development of postoperative sacroiliac joint pain following multilevel stabilization for degenerative spine disease. Clin Neurol Neurosurg. 2016;150:18\u201322."},{"issue":"12","key":"b8","series-title":"Spine (Phila Pa 1976)","first-page":"999","article-title":"Fusion of multiple segments can increase the incidence of sacroiliac joint pain after lumbar or lumbosacral fusion","volume":"41","author":"Unoki E","year":"2016","unstructured":"Unoki E, Abe E, Murai H, Kobayashi T, Abe T. Fusion of multiple segments can increase the incidence of sacroiliac joint pain after lumbar or lumbosacral fusion. Spine (Phila Pa 1976). 2016;41(12):999\u20131005."},{"issue":"17","key":"b9","series-title":"Spine (Phila Pa 1976)","first-page":"E1024","article-title":"sacropelvic fixation with S2 alar iliac screws may prevent sacroiliac joint pain after multisegment spinal fusion","volume":"44","author":"Unoki E","year":"2019","unstructured":"Unoki E, Miyakoshi N, Abe E,  sacropelvic fixation with S2 alar iliac screws may prevent sacroiliac joint pain after multisegment spinal fusion. Spine (Phila Pa 1976). 2019;44(17):E1024\u2013E1030."},{"issue":"2","key":"b10","series-title":"Yonsei Med J","first-page":"416","article-title":"Clinical incidence of sacroiliac joint arthritis and pain after sacropelvic fixation for spinal deformity","volume":"53","author":"Ohtori S","year":"2012","unstructured":"Ohtori S, Sainoh T, Takaso M,  Clinical incidence of sacroiliac joint arthritis and pain after sacropelvic fixation for spinal deformity. Yonsei Med J. 2012;53(2):416\u2013421."},{"issue":"3","key":"b11","series-title":"J Spine Surg","first-page":"310","article-title":"The incidence of new onset sacroiliac joint pain following lumbar fusion","volume":"5","author":"Lee YC","year":"2019","unstructured":"Lee YC, Lee R, Harman C. The incidence of new onset sacroiliac joint pain following lumbar fusion. J Spine Surg. 2019;5(3):310\u2013314."},{"issue":"4","key":"b12","series-title":"Clin Spine Surg","first-page":"169","article-title":"Sacroiliac joint degeneration and pain after spinal arthrodesis: a systematic review","volume":"36","author":"Manzetti M","year":"2023","unstructured":"Manzetti M, Ruffilli A, Barile F,  Sacroiliac joint degeneration and pain after spinal arthrodesis: a systematic review. Clin Spine Surg. 2023;36(4):169\u2013182."},{"issue":"1","key":"b13","series-title":"J Manipulative Physiol Ther","first-page":"42","article-title":"The reliability of multitest regimens with sacroiliac pain provocation tests","volume":"25","author":"Kokmeyer DJ","year":"2002","unstructured":"Kokmeyer DJ, Van der Wurff P, Aufdemkampe G, Fickenscher TCM. The reliability of multitest regimens with sacroiliac pain provocation tests. J Manipulative Physiol Ther. 2002;25(1):42\u201348."},{"issue":"1","key":"b14","series-title":"Arch Phys Med Rehabil","first-page":"10","article-title":"A multitest regimen of pain provocation tests as an aid to reduce unnecessary minimally invasive sacroiliac joint procedures","volume":"87","author":"van der Wurff P","year":"2006","unstructured":"van der Wurff P, Buijs EJ, Groen GJ. A multitest regimen of pain provocation tests as an aid to reduce unnecessary minimally invasive sacroiliac joint procedures. Arch Phys Med Rehabil. 2006;87(1):10\u201314."},{"issue":"4","key":"b15","series-title":"J Pain","first-page":"354","article-title":"Diagnostic validity of criteria for sacroiliac joint pain: a systematic review","volume":"10","author":"Szadek KM","year":"2009","unstructured":"Szadek KM, van der Wurff P, van Tulder MW, Zuurmond WW, Perez RSGM. Diagnostic validity of criteria for sacroiliac joint pain: a systematic review. J Pain. 2009;10(4):354\u2013368."},{"issue":"7","key":"b16","series-title":"Eur Spine J","first-page":"1603","article-title":"The association between sacroiliac joint-related pain following lumbar spine surgery and spinopelvic parameters: a prospective multicenter study","volume":"28","author":"Tonosu J","year":"2019","unstructured":"Tonosu J, Kurosawa D, Nishi T,  The association between sacroiliac joint-related pain following lumbar spine surgery and spinopelvic parameters: a prospective multicenter study. Eur Spine J. 2019;28(7):1603\u20131609."},{"issue":"6","key":"b17","series-title":"Orthop Traumatol Surg Res","first-page":"1233","article-title":"Sacroiliac joint syndrome after lumbosacral fusion","volume":"106","author":"Bronsard N","year":"2020","unstructured":"Bronsard N, Pelletier Y, Darmante H, Andr\u00e9ani O, de Peretti F, Trojani C. Sacroiliac joint syndrome after lumbosacral fusion. Orthop Traumatol Surg Res. 2020;106(6):1233\u20131238."},{"issue":"4","key":"b18","series-title":"Pain Med","first-page":"565","article-title":"Sacroiliac joint pain after lumbar and lumbosacral fusion: findings using dual sacroiliac joint blocks","volume":"12","author":"Liliang PC","year":"2011","unstructured":"Liliang PC, Lu K, Liang CL, Tsai YD, Wang KW, Chen HJ. Sacroiliac joint pain after lumbar and lumbosacral fusion: findings using dual sacroiliac joint blocks. Pain Med. 2011;12(4):565\u2013570."},{"issue":"12","key":"b19","series-title":"Spine (Phila Pa 1976)","first-page":"999","article-title":"Fusion of multiple segments can increase the incidence of sacroiliac joint pain after lumbar or lumbosacral fusion","volume":"41","author":"Unoki E","year":"2016","unstructured":"Unoki E, Abe E, Murai H, Kobayashi T, Abe T. Fusion of multiple segments can increase the incidence of sacroiliac joint pain after lumbar or lumbosacral fusion. Spine (Phila Pa 1976). 2016;41(12):999\u20131005."},{"issue":"17","key":"b20","series-title":"Spine (Phila Pa 1976)","first-page":"E1024","article-title":"Sacropelvic fixation with S2 alar iliac screws may prevent sacroiliac joint pain after multisegment spinal fusion","volume":"44","author":"Unoki E","year":"2019","unstructured":"Unoki E, Miyakoshi N, Abe E,  Sacropelvic fixation with S2 alar iliac screws may prevent sacroiliac joint pain after multisegment spinal fusion. Spine (Phila Pa 1976). 2019;44(17):E1024\u2013E1030."},{"issue":"1","key":"b21","series-title":"Oper Neurosurg","first-page":"91","article-title":"Durability and failure types of S2-alar-iliac screws: an analysis of 312 consecutive screws","volume":"20","author":"Hyun SJ","year":"2020","unstructured":"Hyun SJ, Jung JM, Kim KJ, Jahng TA. Durability and failure types of S2-alar-iliac screws: an analysis of 312 consecutive screws. Oper Neurosurg. 2020;20(1):91\u201397."},{"issue":"4","key":"b22","series-title":"Clin Spine Surg","first-page":"E200","article-title":"Safety profile of lumbosacropelvic fixation in patients aged 60 years or older: comparison between S2-alar-iliac screws and conventional iliac screws","volume":"32","author":"Ishida W","year":"2019","unstructured":"Ishida W, Ramhmdani S, Casaos J,  Safety profile of lumbosacropelvic fixation in patients aged 60 years or older: comparison between S2-alar-iliac screws and conventional iliac screws. Clin Spine Surg. 2019;32(4):E200\u2013E205."},{"issue":"5","key":"b23","series-title":"Spine (Phila Pa 1976)","first-page":"436","article-title":"Low profile pelvic fixation: anatomic parameters for sacral alar-iliac fixation versus traditional iliac fixation","volume":"34","author":"Chang TL","year":"2009","unstructured":"Chang TL, Sponseller PD, Kebaish KM, Fishman EK. Low profile pelvic fixation: anatomic parameters for sacral alar-iliac fixation versus traditional iliac fixation. Spine (Phila Pa 1976). 2009;34(5):436\u2013440."},{"issue":"4","key":"b24","series-title":"J Neurosurg Spine","first-page":"617","article-title":"Change in pelvic incidence between the supine and standing positions in patients with bilateral sacroiliac joint vacuum signs","volume":"34","author":"Mikula AL","year":"2021","unstructured":"Mikula AL, Fogelson JL, Oushy S,  Change in pelvic incidence between the supine and standing positions in patients with bilateral sacroiliac joint vacuum signs. J Neurosurg Spine. 2021;34(4):617\u2013622."},{"issue":"1","key":"b25","series-title":"J Neurosurg Spine","first-page":"42","article-title":"Biomechanics of a laterally placed sacroiliac joint fusion device supplemental to S2 alar-iliac fixation in a long-segment adult spinal deformity construct: a cadaveric study of stability and strain distribution","volume":"36","author":"de Andrada Pereira B","year":"2022","unstructured":"de Andrada Pereira B, Wangsawatwong P, Lehrman JN,  Biomechanics of a laterally placed sacroiliac joint fusion device supplemental to S2 alar-iliac fixation in a long-segment adult spinal deformity construct: a cadaveric study of stability and strain distribution. J Neurosurg Spine. 2022;36(1):42\u201352."},{"issue":"3","key":"b26","series-title":"Spine (Phila Pa 1976)","first-page":"E142","article-title":"Use of S2-alar-iliac screws associated with less complications than iliac screws in adult lumbosacropelvic fixation","volume":"42","author":"Elder BD","year":"2017","unstructured":"Elder BD, Ishida W, Lo S-FL,  Use of S2-alar-iliac screws associated with less complications than iliac screws in adult lumbosacropelvic fixation. Spine (Phila Pa 1976). 2017;42(3):E142\u2013E149."},{"issue":"3","key":"b27","series-title":"J Neurosurg Spine","first-page":"320","article-title":"Maintaining stability at the lumbosacral-pelvic region in adult spinal deformity surgery without sacroiliac joint fusion: are 4 pelvic screws superior to 2 pelvic screws?","volume":"42","author":"Mohanty S","year":"2024","unstructured":"Mohanty S, Stephan SR, Mikhail C,  Maintaining stability at the lumbosacral-pelvic region in adult spinal deformity surgery without sacroiliac joint fusion: are 4 pelvic screws superior to 2 pelvic screws?. J Neurosurg Spine. 2024;42(3):320\u2013330."},{"issue":"2","key":"b28","series-title":"Neurospine","first-page":"466","article-title":"Dual S2 alar-iliac screw technique with a multirod construct across the lumbosacral junction: obtaining adequate stability at the lumbosacral junction in spinal deformity surgery","volume":"17","author":"Park PJ","year":"2020","unstructured":"Park PJ, Lin JD, Makhni MC, Cerpa M, Lehman RA, Lenke LG. Dual S2 alar-iliac screw technique with a multirod construct across the lumbosacral junction: obtaining adequate stability at the lumbosacral junction in spinal deformity surgery. Neurospine. 2020;17(2):466\u2013470."},{"issue":"4","key":"b1","series-title":"J Spine Surg","first-page":"627","article-title":"The percentage of sacroiliac fusions done in the U.S. by non-surgical specialties has increased","volume":"10","author":"Cyriac M","year":"2024","unstructured":"Cyriac M, Delvadia BP, Winter JE, Budin JS, Lee OC, Sherman WF. The percentage of sacroiliac fusions done in the U.S. by non-surgical specialties has increased. J Spine Surg. 2024;10(4):627\u2013634."},{"key":"b2","series-title":"World Neurosurg","first-page":"e15","article-title":"Randomized trial of augmented pelvic fixation in patients undergoing thoracolumbar fusion for adult spine deformity: initial results from a multicenter randomized trial","volume":"187","author":"Polly D","year":"2024","unstructured":"Polly D, Mundis G, Eastlack R,  Randomized trial of augmented pelvic fixation in patients undergoing thoracolumbar fusion for adult spine deformity: initial results from a multicenter randomized trial. World Neurosurg. 2024;187:e15\u2013e27."},{"issue":"1","key":"b3","series-title":"Spine (Phila Pa 1976)","first-page":"E27","article-title":"How often is low back pain not coming from the back?","volume":"34","author":"Sembrano JN","year":"2009","unstructured":"Sembrano JN, Polly DWJ. How often is low back pain not coming from the back? Spine (Phila Pa 1976). 2009;34(1):E27\u2013E32."},{"issue":"3","key":"b4","series-title":"J Neurosurg Spine","first-page":"320","article-title":"Biomechanical effects of a novel posteriorly placed sacroiliac joint fusion device integrated with traditional lumbopelvic long-construct instrumentation","volume":"35","author":"de Andrada Pereira B","year":"2021","unstructured":"de Andrada Pereira B, Lehrman JN, Sawa AGU,  Biomechanical effects of a novel posteriorly placed sacroiliac joint fusion device integrated with traditional lumbopelvic long-construct instrumentation. J Neurosurg Spine. 2021;35(3):320\u2013329."},{"issue":"6","key":"b5","series-title":"J Neurosurg Spine","first-page":"997","article-title":"Is L5\/S1 interbody fusion necessary in long-segment surgery for adult degenerative scoliosis? A systematic review and meta-analysis","volume":"36","author":"Cavagnaro MJ","year":"2022","unstructured":"Cavagnaro MJ, Orenday-Barraza JM, Khan N,  Is L5\/S1 interbody fusion necessary in long-segment surgery for adult degenerative scoliosis? A systematic review and meta-analysis. J Neurosurg Spine. 2022;36(6):997\u20131004."},{"issue":"1","key":"b6","series-title":"J Neurol Surg A Cent Eur Neurosurg","first-page":"15","article-title":"Persistent iliosacral joint syndrome following instrumentation to the sacropelvis in patients with adult spinal deformity","volume":"80","author":"Diesing D","year":"2019","unstructured":"Diesing D, Franke J, Tschoeke SK, Schulthei\u00df R, Scheufler KM. Persistent iliosacral joint syndrome following instrumentation to the sacropelvis in patients with adult spinal deformity. J Neurol Surg A Cent Eur Neurosurg. 2019;80(1):15\u201325."},{"key":"b7","series-title":"Clin Neurol Neurosurg","first-page":"18","article-title":"Impact of sacropelvic fixation on the development of postoperative sacroiliac joint pain following multilevel stabilization for degenerative spine disease","volume":"150","author":"Finger T","year":"2016","unstructured":"Finger T, Bayerl S, Bertog M, Czabanka M, Woitzik J, Vajkoczy P. Impact of sacropelvic fixation on the development of postoperative sacroiliac joint pain following multilevel stabilization for degenerative spine disease. Clin Neurol Neurosurg. 2016;150:18\u201322."},{"issue":"12","key":"b8","series-title":"Spine (Phila Pa 1976)","first-page":"999","article-title":"Fusion of multiple segments can increase the incidence of sacroiliac joint pain after lumbar or lumbosacral fusion","volume":"41","author":"Unoki E","year":"2016","unstructured":"Unoki E, Abe E, Murai H, Kobayashi T, Abe T. Fusion of multiple segments can increase the incidence of sacroiliac joint pain after lumbar or lumbosacral fusion. Spine (Phila Pa 1976). 2016;41(12):999\u20131005."},{"issue":"17","key":"b9","series-title":"Spine (Phila Pa 1976)","first-page":"E1024","article-title":"sacropelvic fixation with S2 alar iliac screws may prevent sacroiliac joint pain after multisegment spinal fusion","volume":"44","author":"Unoki E","year":"2019","unstructured":"Unoki E, Miyakoshi N, Abe E,  sacropelvic fixation with S2 alar iliac screws may prevent sacroiliac joint pain after multisegment spinal fusion. Spine (Phila Pa 1976). 2019;44(17):E1024\u2013E1030."},{"issue":"2","key":"b10","series-title":"Yonsei Med J","first-page":"416","article-title":"Clinical incidence of sacroiliac joint arthritis and pain after sacropelvic fixation for spinal deformity","volume":"53","author":"Ohtori S","year":"2012","unstructured":"Ohtori S, Sainoh T, Takaso M,  Clinical incidence of sacroiliac joint arthritis and pain after sacropelvic fixation for spinal deformity. Yonsei Med J. 2012;53(2):416\u2013421."},{"issue":"3","key":"b11","series-title":"J Spine Surg","first-page":"310","article-title":"The incidence of new onset sacroiliac joint pain following lumbar fusion","volume":"5","author":"Lee YC","year":"2019","unstructured":"Lee YC, Lee R, Harman C. The incidence of new onset sacroiliac joint pain following lumbar fusion. 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