Explore the often-overlooked connection between lumbar fractures and sacroiliac joint pain in our latest deep dive into a groundbreaking retrospective-cohort study.
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Incidence of Sacroiliac Joint Pain Following Lumbar Fractures: A Retrospective-Cohort Study.
Makineni et al., World Neurosurg 2024
DOI: 10.1016/j.wneu.2024.01.068
Study Highlights:
- New Information: This study quantifies the incidence of sacroiliac joint (SIJ) pain following lumbar fractures, with a specific focus on single-level fractures.
- Importance: Understanding the relationship between lumbar fractures and subsequent SIJ pain can inform clinical management and preventative strategies for patients with low back pain.
- Contribution to Literature: The study provides evidence that lumbar fractures significantly increase the risk of developing SIJ pain, especially at the L5 level.
Results Summary:
Patients with lumbar fractures were found to have a higher likelihood of developing SIJ pain at various time points post-fracture, with odds ratios (OR) of 5.3 at 3 months, 4.4 at 6 months, and 3.9 at 1 year. The incidence of SIJ pain was significantly higher in patients with single-level L5 fractures compared to L1 fractures at 1 month (p=0.005), 6 months (p=0.010), and 1 year (p=0.003).