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Sacroiliac Joint Dysfunction with Groin Pain after an Operation for Lumbar Spinal Disorder. A Case Report Yusuke SHIMODA 1 , Daijiro MORIMOTO 1 , Toyohiko ISU 1 , Hiroaki MOTEGI 1 , Tetsuaki IMAI 1 , Ryouji MATSUMOTO 1 , Masanori ISOBE 1 , Kyongsong KIM 2 , Atsushi SUGAWARA 3 1Department of Neurosurgery,Kushiro Rosai Hospital 2Department of Neurosurgery,Nippon Medical School 3Department of Neurosurgery,Iwate Medical School Keyword: sacroiliac joint dysfunction , groin pain , spondylolisthesis , postoperative complication pp.1025-1030
Published Date 2010/11/10
DOI https://doi.org/10.11477/mf.1436101285
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 A 75-year-old male presented with groin pain after an operation to treat lumbar spondylolisthesis (L5). Groin tenderness was localized to the medial border of the anterior superior iliac spine (ASIS). Radiographical and physical examination raised the suspicion of sacroiliac joint (SIJ) dysfunction. Injection of a painkiller into the SIJ relieved symptoms, including groin tenderness. Symptoms improved gradually, and finally disappeared after five SIJ injections. Groin pain has been reported as a referred symptom of SIJ dysfunction in 9.3~23% of patients. Prior to the patient undergoing surgery to treat lumbar spondylolisthesis, SIJ dysfunction had not been noted on physical examination. Long periods spent in the abnormal posture due to lumbar spondylolisthesis induced SIJ stress. After the operation, an improvement in daily activity actually increased stress on the SIJ, resulting in SIJ dysfunction. Certain pathologies, including SIJ dysfunction, should be considered as residual symptoms after operations for lumbar spinal diseases.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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