Lost battle with the SIJ

A lost battle with my arch nemesis the SI joint today. Very petite 82 year old with osteoporosis s/p L4-S1 PLIF with transitional anatomy manifesting as lumbarized S1. Old fashioned right side iliac crest bone graft harvest scar. Right buttock pain. Weight bearing LS spine x-ray showing right SIJ and axial MRI image showing only cross sectional view of SIJ. On fluoro straight AP there was what looked to be a long radiolucent “stripe”. The remainder of the sacrum was just a gray ground glass... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums