title: Sacroiliac joint fusion and the implications for manual therapy diagnosis and treatment.
abstract: The present paper examines gender differences and changes in prevalence of ankylosed sacroiliac joint (SIJ) with age. SIJs of 287 patients (159 males and 128 females), aged 22-93 years, were examined for fusion, using 3-D CT images. Presence, side and location of the fusion along the joint borders were recorded. Fusion of the SIJ was found to be gender and age dependent; present in 27.7% of all males in contrast to only 3.0% in females (p<0.001). The phenomenon increased with age in the male population from 5.8% in the 20-39 age cohorts to 46.7% in the 80+ cohort. As mobilization and/or manipulation of a dysfunctional SIJ are common procedures used by manual therapists, the effect that aging has on SIJ mobility requires therapists to alter or change their method with advancing age.
authors: Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv 69978, Israel. galidar@yahoo.com
authors: Gali
authors: G
authors: Dar
authors: Sam
authors: S
authors: Khamis
authors: Smadar
authors: S
authors: Peleg
authors: Youssef
authors: Y
authors: Masharawi
authors: Nili
authors: N
authors: Steinberg
authors: Natan
authors: N
authors: Peled
authors: Bruce
authors: B
authors: Latimer
authors: Israel
authors: I
authors: Hershkovitz
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000844:Ankylosis / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000534:rehabilitation; D005260:Female; D006801:Humans; D007557:Israel / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D026201:Musculoskeletal Manipulations; D012446:Sacroiliac Joint; D017678:Sex Distribution; D014057:Tomography, X-Ray Computed