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Surgery for the Painful, Dysfunctional Sacroiliac Joint: A Clinical GuideFrom Springer
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Filling a significant knowledge gap, this book brings the latest information to the evaluation and treatment of patients with a dysfunctional sacroiliac (SI) joint. Beginning with an overview of current anatomical knowledge and the role of pain and surgery, diagnosis and treatment approaches are carefully presented as individual chapters - featuring the origin of each surgical approach, the approach itself, its literary foundation, and overall available results. The final emphasis of the book is on post-operative concerns - including complications, bracing options, rehabilitation and managing patient expectations. Spine surgeons, physical therapists, and other professionals who treat the SI joint will find Surgery for the Painful, Dysfunctional Sacroiliac Joint to be an invaluable resource.
- Sales Rank: #2594415 in Books
- Published on: 2014-11-17
- Released on: 2014-11-17
- Original language: English
- Number of items: 1
- Dimensions: 10.00" h x .49" w x 7.01" l, .82 pounds
- Binding: Paperback
- 198 pages
Review
From the book reviews:
“The goal is to put together the most relevant evidence and explain the techniques for performing surgery for the SI joint. The book succeeds in defining the indications for surgery and describing the techniques. The audience includes any physicians interested in treating patients with SI joint problems. … This is the first book of its kind and it is a great addition to the field.” (Fernando Techy, Doody’s Book Reviews, April, 2015)
From the Back Cover
Filling a significant knowledge gap, this book brings the latest information to the evaluation and treatment of patients with a dysfunctional sacroiliac (SI) joint. Beginning with an overview of current anatomical knowledge and the role of pain and surgery, diagnosis and treatment approaches are carefully presented as individual chapters - featuring the origin of each surgical approach, the approach itself, its literary foundation, and overall available results. The final emphasis of the book is on post-operative concerns - including complications, bracing options, rehabilitation and managing patient expectations. Spine surgeons, physical therapists, and other professionals who treat the SI joint will find Surgery for the Painful, Dysfunctional Sacroiliac Joint to be an invaluable resource.
About the Author
Bruce E. Dall, MD
Orthopedic Spine Surgeon
Borgess Brain and Spine Institute
Western Michigan University School of Medicine
Kalamazoo, MI
USA
Sonia V. Eden, MD
Neurosurgeon
Borgess Brain and Spine Institute
Western Michigan University School of Medicine
Kalamazoo, MI
USA
Michael D. Rahl, PT, DPT, OCS, CSCS
Physical Therapist
Full Potential Physical Therapy
Holland, MI
USA
Dr. Dall has spent the past twenty-five years in private and academic medical settings diagnosing and treating patients with sacroiliac joint pain. He has published several articles in major peer review journals on his work with this subject and has contributed new techniques and ideas for diagnosing and treating the patient with a painful, dysfunctional sacroiliac joint. He has shown how factors such as a previous failed lumbar fusion, chronic illness, obesity and chronic pain can make these patients special challenges for the surgeon. He continues to be very active in this area by recently publishing an algorithm for the diagnoses and treatment of sacroiliac joint dysfunction, publishing extensive long-term follow-up studies on surgical outcomes for this condition, and working with engineers in the cadaver lab to answer questions concerning stress analysis in the pathologic sacroiliac joint, how that changes with surgery and how that is affected by fusion of adjacent joints. These are all firsts concerning the current knowledge base for the sacroiliac joint.
Most helpful customer reviews
1 of 1 people found the following review helpful.
Book Review of Surgery for the Painful, Dysfunctional Sacroiliac Joint.
By Dr. Jerry Hesch, MHS, PT, DPT
The book is directed to surgeons and rehabilitation professionals who deal with patients who have a symptomatic sacroiliac joint. It covers conservative and surgical care. The author’s limit coverage to that of the symptomatic albeit essentially stable sacroiliac joint. Surgical stabilization for causes of instability such as trauma, infection, and fracture, etc. are not addressed. Nonetheless, brief coverage of that population would be a valuable inclusion in future editions. The editors include two neurosurgeons and one physical therapist, with contributing chapters from four orthopedic surgeons. All have been involved in treatment of this painful condition for some time, including two authors with over 25-years of experience. One chapter presents in vitro research performed by two of the editors.
Most chapters are brief in a book of 16 chapters and three appendixes within 198 pages. Background information is presented in the introductory chapter and the reader is well-informed regarding the recent trend of minimally invasive sacroiliac joint fusion. A historical perspective is covered within the first two chapters. The second chapter provides an overview of literature on treatment of the symptomatic, stable sacroiliac. The third chapter is a very thorough coverage of anatomy and biomechanics written by the third editor a physical therapist and incudes relevant considerations for surgical planning such as anatomical variation based on gender and transitional lumbosacral segments. A very relevant issue is that of the degree of cancellous bone versus cortical within the specific regions of the sacrum, and contrasting that with the ilium. Coverage of vulnerable neurovascular structures is also presented and appropriately addressed again in a later chapter on surgical planning. The images are high quality much like the rest of the images in the book except for one image of the pelvis in a latter chapter in which the artist took excessive artistic freedom in reversing the lower pelvis.
The chapter on pathology is thoroughly presented with 15 images. The potential role of symptom generating extra-articular and intra-articular structures are presented and also receive elaboration that is insightful and does not appear repetitive in a separate chapter. Only brief mention is made in the book regarding peripartum pelvic joint pain referencing the sacroiliac without acknowledging the role of the symptomatic pubic symphysis joint. Because there is a population with comorbidity in the sacroiliac and symphysis pubis it seems a worthwhile consideration for inclusion in a future edition with respect to both diagnosis and treatment.
A chapter on diagnosis presents an algorithm and it does emphasize the relevance of thorough conservative management prior to surgical consideration. Reference to a hip x-ray appears to underrepresented as it mentions a standard AP pelvic radiograph only. The potential role of hip pathology suggests that a hip series (inclusive of AP pelvic, lateral and frog view images) would be a more relevant radiographic screen. This is particularly relevant given the proximity of the hip to the SIJ, the similar neural pathways and functional link. The overall objective tone in this chapter is woven throughout the book. A concluding statement from the algorithm chapter reads: “It is assumed that this algorithm will undergo much change as more is learned about this very complex joint in terms of anatomy, diagnosis, and treatment options” (Dahl p. 66). The reviewer greatly respects this perspective which is congruent with the belief expressed throughout the book that conservative measures must be thoroughly addressed prior to surgical consideration. The role of intraarticular injection was presented whereas literature on retroarticular injection was under-represented. A discussion on the author’s perspective on pain provocation tests would be welcomed in a future edition, given that these tests were not part of the algorithm.
In two separate section the author tackles the controversial topic of a well marketed concept of aligning the pelvis in the surgical suite prior to fusion. The author states: “(p. 76). For the benefit of the reader, this theory of alignment is based on a belief system which suggests that alignment of external bony landmarks represents suboptimal positioning of the SIJ, which has no support with objective imaging studies. However, there are several studies that counter that belief utilizing sterophotogrammetry with palpatory kinetic tests. The chapter on the lateral approach is particularly insightful in presenting a historical perspective on the development of the devices, which is also given elaboration in chapter 12. The various chapters on surgical approach is thorough in that they include sections on indications and contraindication, safe and danger anatomical zone and intraoperative imaging. The technical information on surgical approaches is thorough. Other subject covered are complications and reoperation.
A chapter on postoperative rehabilitation is additive and is a relevant beginning given that there is a paucity of data on rehabilitation for this emerging population.
Within each surgical chapter there are clinical gems and very practical information on the advantage and disadvantage of the different approaches. The book closes with a round table discussion which is a very welcome inclusion.
For persons who may be candidates for surgical intervention, this is an important resource. In summary, this is an important book on emerging surgical procedures and emerging hardware development for surgical stabilization of the painful SIJ. The science is in the early stages given the emergence of literature over the past two decades and the very recent development of implant hardware. It is anticipated that future editions will offer much given the continued development of the subject matter and contribute additional literature, given that the date of the literature review was April 11, 2013. In spite of that it is very relevant book which achieves the stated purpose and is given a 4-star recommendation.
Dr. Jerry Hesch, MHS, PT, DPT
Hesch Institute
Aurora, CO USA
2 of 2 people found the following review helpful.
I'm living proof of this book
By jolyn arens
This book is fantastic, thorough and easy to understand.
I met with Dr. Sonia Edan then read the book. I had the surgery and I am virtually pain free 6 days post op. I have used the book daily as a reference in my pre-op preparation and post op healing.
After traveling 5 hours to meet Dr. Sonia Edan I made the difficult but successful decision to have the surgery locally. I had a surgeon, locally, who was highly experienced in this surgery. Prior to my decision I had brought him Dr. Edans book and he was highly enthused as it was a first of its kind. He has been performing this surgery for years but hasnt seen such a complete & broadly informative published work.
This book is the tip of a very big iceberg ( painful condition) that's thousands of people suffer from. Please invest in yourself and your Doctor by purchasing this book and learning all there is, currently, to know!!!
Jolyn ( Jody) Arens
See all 2 customer reviews...
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