Review
. 2021 Oct 9;13(10):e18619.
doi: 10.7759/cureus.18619.
eCollection 2021 Oct.
Affiliations
Affiliations
- 1 Neurosurgery, Desert Regional Medical Center, Palm Springs, USA.
- 2 William Beaumont School of Medicine, Oakland University, Rochester, USA.
- 3 School of Medicine, University of Texas Medical Branch, Galveston, USA.
- 4 Kentucky College of Osteopathic Medicine, University of Pikeville, Pikeville, USA.
- 5 School of Medicine, Universidad Anáhuac Querétaro, Santiago de Querétaro, MEX.
- 6 School of Medicine, California University of Science and Medicine, Colton, USA.
- 7 College of Osteopathic Medicine, Kansas City University, Kansas City, USA.
- 8 College of Osteopathic Medicine, Michigan State University, East Lansing, USA.
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Review
Brian Fiani et al.
Cureus.
.
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. 2021 Oct 9;13(10):e18619.
doi: 10.7759/cureus.18619.
eCollection 2021 Oct.
Affiliations
- 1 Neurosurgery, Desert Regional Medical Center, Palm Springs, USA.
- 2 William Beaumont School of Medicine, Oakland University, Rochester, USA.
- 3 School of Medicine, University of Texas Medical Branch, Galveston, USA.
- 4 Kentucky College of Osteopathic Medicine, University of Pikeville, Pikeville, USA.
- 5 School of Medicine, Universidad Anáhuac Querétaro, Santiago de Querétaro, MEX.
- 6 School of Medicine, California University of Science and Medicine, Colton, USA.
- 7 College of Osteopathic Medicine, Kansas City University, Kansas City, USA.
- 8 College of Osteopathic Medicine, Michigan State University, East Lansing, USA.
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Abstract
Pregnancy-related pain in the sacroiliac joint (SIJ), lumbosacral region, pubic symphysis, or in any combination of these joints has been coined as pelvic girdle pain (PGP) and has been estimated to affect almost half of all pregnant women. SIJ dysfunction in pregnancy is due to multiple biomechanical mechanisms, such as increased weight, change in posture, increased abdominal and intrauterine pressure, and laxity of the spine and pelvic structures. Moreover, when compared to men, women have increased SIJ mobility due to increased pubic angle and decreased SIJ curvature. These differences may assist in parturition where hormones, such as relaxin and estrogen, cause symphysiolysis. A retrospective review of the literature was conducted in the PubMed database using the search term “pregnancy-related sacroiliac joint pain.” All peer-reviewed studies were included. Around 8%-10% of women with PGP continue to have pain for one to two years postpartum. Patients that were treated with SIJ fusion show statistically significant improvement in pain scores when compared to patients that had non-operative treatment. Although we have a number of studies following patients after sacroiliac (SI) joint fusion for pelvic pain with SI joint dysfunction, further research is needed to study sacroiliac fusion for SI joint dysfunction in postpartum women to better tailor and optimize surgical outcomes for this patient population.
Keywords:
etiologies for sacroiliitis; joint disease; pelvic girdle pain; pregnancy-related complaint; symphysiolysis.
Copyright © 2021, Fiani et al.
Conflict of interest statement
The authors have declared that no competing interests exist.
References
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International Society for the Advancement of Spine Surgery policy 2020 update-minimally invasive surgical sacroiliac joint fusion (for chronic sacroiliac joint pain): coverage indications, limitations, and medical necessity. Lorio M, Kube R, Araghi A. Int J Spine Surg. 2020;14:860–895.
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