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Orthopedics and Osteoporosis 2018

N o v e m b e r 2 9 - 3 0 , 2 0 1 8

Am s t e r d a m , N e t h e r l a n d s

Page 58

Journal of Clinical & Experimental Orthopaedics

ISSN: 2471-8416

E u r o p e a n C o n f e r e n c e o n

Orthopedics and

Osteoporosis

T

he sacroiliac joint (SIJ) is structured by articular surfaces between the sacral and iliac bones. The SIJ embraces different

functions, because it connects the spine with pelvis, which permits the soaking up of vertical forces from spine and thus,

transferring vertical forces to the pelvis and lower extremities. The first goal of the SIJ is to preserve stability that is partly done

by the muscles surrounding the SIJ and realized by various procedures, encompassing a large complex of ligaments connected

to the SIJ. The range of motion of the SIJ is evaluated to be around 2 to 4 degrees. 35 muscles connected to the sacrum bone or

innominate work together in synergy with the fascia and ligaments to produce movement and ensure stability of the trunk and

lower extremities. The SIJ is an important source of pelvic and low back pain (LBP), which should be taken into consideration in the

differential diagnosis of pelvic and LBP. The prevalence of SIJ pain tends to be underappreciated because no research has been

done concerning the SIJ posterior ligaments. In the United States and the rest of the world, there is an increased prevalence of

LBP and its associated costs. In Europe, the augmentation of LBP cases in an adult population is due to sedentary activities such

as working with a computer. We have conducted a pilot study composed of 20 patients. After applying two different osteopathic

release techniques on the posterior SIJ ligaments, a reduction of the pain was observed in 18 patients, from which 12 had no pain

anymore and six had only a reduction of the intensity of pain. In two cases, the applied techniques did not produce any effect.

There is a necessity to investigate the potential function of SIJ posterior ligaments at generating LBP.

marcucci@pt.lu sergio.marcucci@outlook.com smarcucci@atsu.edu

Posterior sacroiliac joint ligaments and their

potential influence on the low back and pelvic pain

Marcucci Sergio

College of Graduate Health Studies-ATSU, USA

J Clin Exp Orthop 2018, Volume: 4

DOI: 10.4172/2471-8416-C1-006