Candidates for Surgery SACROILIAC JOINT FUSION

When Sacroiliac Fusion Might Be an Option

Sacroiliac (SI) joint fusion surgery to limit movement in the joint may be a good treatment for some people. Find out by consulting with a doctor. The doctor will consider your overall health, symptoms, and the success of your treatment to date in deciding whether to advise surgery.

Good Candidates for Surgery 

SI joint fusion may be an option if you:

  • Have been diagnosed with degenerative sacroiliitis or SI joint disruption
  • Have had a positive response to SI joint injection(s) and
  • Have tried, with no lasting relief, other conservative care options such as physical therapy, chiropractic care, medications, or injections for at least six months

SI Joint Fusion Considerations for Women

Considerations for Women Dr. David Rouben discusses considerations for women who are considering pregnancy. Dr. Rouben is an orthopaedic surgeon at Norton Spine Specialists in Louisville, Kentucky.
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Who is Not a Candidate?

SI joint fusion should not be used in patients with the following conditions:

  • Deformities
  • Tumour resection
  • Infection near the operative site and/or signs of local inflammation
  • Failed previous fusion
  • Suspected or documented allergy or intolerance to the component materials


Potential risks in any surgical procedure include unforeseeable complications caused by anaesthesia, blood clots, undiagnosed medical problems, such as silent heart disease, and rare allergic reactions.

In addition, some risks of SI joint surgery include incomplete pain relief, damage to the nerve roots, infection, and complications with the hardware.

Most of these complications can be treated once they are detected, but sometimes they require a longer period of hospitalisation or recovery, additional medications, and sometimes even additional surgery.

These risks will be explained by the primary surgeon. In general, these complications happen very infrequently, but it is important to remember that surgery is a difficult process, and, therefore, unforeseeable complications do occur.

Consult with a Doctor

For more information on SI joint fusion, talk to your doctor. If you need a SI joint specialist use our search guide to locate one near you.

This website is intended to be educational and is not to be used as a diagnostic tool. It is not intended to replace the information provided to you by your healthcare providers and does not constitute medical advice. The information may not be directly applicable for your individual clinical circumstance. Please talk with your doctor about diagnosis and treatment information.