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Ligaments stabilizing the sacrum and sacroiliac joint: a comprehensive review |
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| Authors: | Ashby Kara Yilmaz Emre Mathkour Mansour Olewnik ?ukasz Hage Dany Iwanaga Joe Loukas Marios Tubbs R Shane |
| Institution: | 1.Department of Anatomical Sciences, St. George’s University, St. George’s, Grenada ;2.Department of Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bochum, NRW, Germany ;3.Tulane University & Ochsner Clinic Neurosurgery Program, Tulane University School of Medicine, New Orleans, LA, USA ;4.Department of Anatomical Dissection and Donation, Medical University of Lodz, Lodz, Poland ;5.Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, 131 S. Robertson St. Suite 1300, New Orleans, LA, 70112, USA ;6.Department of Neurology, Tulane Center for Clinical Neurosciences, Tulane University, New Orleans, LA, USA ;7.Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, LA, USA ;8.Department of Structural & Cellular Biology, Tulane University School of Medicine, New Orleans, LA, USA ;9.Department of Surgery, Tulane University School of Medicine, New Orleans, LA, USA ;10.University of Queensland, Brisbane, Australia ; |
| Abstract: | The sacroiliac joint is a diarthrodial synovial joint in the pelvis. Anatomically, it is described as a symphysis, its synovial joint characteristics being limited to the distal cartilaginous portion on the iliac side. It is a continuous ligamentous stocking comprising interconnecting ligamentous structures and surrounding fascia. Its ligaments, the primary source of its stability, include the anterior, interosseous and dorsal sacroiliac, the iliolumbar, sacrotuberous, and sacrospinous. Structural reinforcement is also provided by neighboring fascia and muscles. Lower back pain is a common presentation of sacroiliac joint disease, the best-established treatments being corticosteroid injections, bipolar radiofrequency ablation, and sacroiliac joint fusion. |
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