Improvement of Back Pain after Intraoperative Sacroiliac Injection during L5-S1 Fixation: A Randomized Controlled Retrospective Study

Mohamed Ali Abbas, Lecturer of Neurosurgery , Faculty of Medicine, Kafr Elsheikh University, Kafr Elsheikh, EgyptFollow
Ahmed Zaghlol, Professor of Anesthesiology, Surgical Intensive Care and Pain Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt
Ayman M Ismail, Assistant Professor of Neurosurgery, Faculty of Medicine, Kafr Elsheikh University, Kafr Elsheikh, Egypt
Hamdy Nabwi, Assistant Professor of Neurosurgery, Faculty of Medicine, MUST University, Cairo, Egypt
Mohamed Ismail, Lecturer of Neurosurgery, Faculty of Medicine, MUST University, Cairo, Egypt
Ahmed Sameh Nada, Lecturer of Neurosurgery, Faculty of Medicine, Port Said University, Port Said, Egypt
Mona Mokhtar, Lecturer of Rheumatology and Rehabilitation, Faculty of Medicine for girls ,Al Azhar University, Cairo, Egypt
Ahmed Shaker Elakhras, Lecturer of Neurosurgery, Faculty of Medicine, Kafr Elsheikh University, Kafr Elsheikh, Egypt

Corresponding Author

Mohamed Ali Abbas

Subject Area

Neurosurgery

Article Type

Original Study

Abstract

Background: Sacroiliac joint (SIJ) pain is a common complication following lumbar spinal fusion. The purpose of this research was to determine how effective intraoperative SIJ injection in preventing low back pain after L5-S1 fixation procedures. Methods: This randomized controlled retrospective study was performed on 70 individuals who underwent L5-S1 fixation and were classified equally into two groups: Group A intraoperative SIJ injection was performed, while Group B did not. Pain incidence, Oswestry Disability Index (ODI) scores, and failed back surgery syndrome (FBSS) rates were assessed preoperatively and at 2 weeks, 1, 3, and 6 months postsurgery. Results: At 6 months, Group A showed significantly lower pain incidence (2.86% vs 17.14%, p=0.027) and ODI scores (31.71±6.26 vs 36.06±8.54, p=0.018) than Group B. The FBSS incidence was significantly lower in Group A (8.57% vs 31.43%, p=0.034). No significant differences in complication rates were observed between groups. Conclusions: Intraoperative SIJ injection during L5-S1 fixation appears to reduce longterm pain incidence, improve functional outcomes, and lower FBSS rates without increasing complications. This technique may offer a promising strategy for preventing SIJ-related pain following lumbar spinal fusion.

Recommended Citation

Abbas, Mohamed Ali; Zaghlol, Ahmed; Ismail, Ayman M; Nabwi, Hamdy; Ismail, Mohamed; Nada, Ahmed Sameh; Mokhtar, Mona; and Elakhras, Ahmed Shaker (2025) "Improvement of Back Pain after Intraoperative Sacroiliac Injection during L5-S1 Fixation: A Randomized Controlled Retrospective Study," Mansoura Medical Journal: Vol. 54 : Iss. 1 , Article 2.
Available at: https://doi.org/10.58775/2735-3990.1435