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January 25, 2026

Incidence of de novo sacroiliac joint pain following adult spinal deformity surgery with pelvic fixation.

AMAnthony L MikulaUniversity of California, San Francisco RERobert K. EastlackScripps Research Institute JTJay D. TurnerBarrow Neurological Institute

Puntos clave

This research aims to examine the incidence of de novo sacroiliac joint pain following adult spinal deformity surgery with pelvic fixation.
Examinations were conducted at 1- and 2-year follow-ups.
Incidence of de novo sacroiliac joint pain was assessed post-surgery.
Provocative examinations were performed to evaluate pain sources.
The incidence of de novo sacroiliac joint pain was found to be 1% at both follow-ups.
Despite low incidence, nearly one-quarter of patients reported significant regional pain.
The disconnect between pain reports and negative examinations suggests complex pain sources.

Resumen

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.

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