title: [Diagnosis of Patients with Painful Sacroiliac Joint Syndrome].
abstract: Pain coming from the sacroiliac (SI) joints can explain up to 25% of all chronic low back pain. A careful differential diagnosis is required to avoid misdiagnosis of low back pain. In addition to historical findings, positive findings on physical examination maneuvers that stress the SI joint are a key component diagnosis. The SI joint is confirmed as a pain generator when intraarticular injection of local anaesthetics provides acute back pain relief. Minimally invasive SI joint fusion is clearly superior to invasive open surgical procedures, with decreased blood loss and tissue disruption, shorter procedure times and shorter hospital stays. Especially well documented are the results of minimally invasive SI joint fusion using iFuse Implant System®. The device's triangular profile, combined with a titanium plasma spray coating, ensures both an immediate and long-lasting joint stabilization.
authors.affiliation: Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn.
authors.forename: Rahel
authors.initials: R
authors.lastname: Bornemann
authors.affiliation: Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn.
authors.forename: Robert
authors.initials: R
authors.lastname: Pflugmacher
authors.affiliation: Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn.|mdm, Alsbach.
authors.forename: Ernst M W
authors.initials: EMW
authors.lastname: Koch
authors.affiliation: Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn.
authors.forename: Philip Peter
authors.initials: PP
authors.lastname: Roessler
authors.affiliation: Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn.
authors.forename: Yorck
authors.initials: Y
authors.lastname: Rommelspacher
authors.affiliation: Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn.
authors.forename: Dieter Christian
authors.initials: DC
authors.lastname: Wirtz
authors.affiliation: Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn.
authors.forename: Sönke Percy
authors.initials: SP
authors.lastname: Frey
mesh_terms: D001174:Arthrodesis / Q000295:instrumentation; D001672:Biocompatible Materials; D055396:Bone Morphogenetic Protein 2 / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004867:Equipment Design; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures; D010043:Outcome and Process Assessment, Health Care; D010147:Pain Measurement; D010808:Physical Examination; D019736:Prostheses and Implants; D011994:Recombinant Proteins / Q000008:administration & dosage; D012446:Sacroiliac Joint / Q000000981:diagnostic imaging* / Q000601:surgery*; D058566:Sacroiliitis / Q000000981:diagnostic imaging* / Q000601:surgery*; D016212:Transforming Growth Factor beta / Q000008:administration & dosage
chemical_list: D001672:Biocompatible Materials; D055396:Bone Morphogenetic Protein 2; D011994:Recombinant Proteins; D016212:Transforming Growth Factor beta; C499469:recombinant human bone morphogenetic protein-2