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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 1, 112-114.
doi: 10.1302/0301-620X.89B1.18547  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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A minimally-invasive technique for the treatment of pyogenic sacroiliitis

P. V. Giannoudis, BSc, MB, MD, EEC(Orth), Professor1; and E. Tsiridis, MD, MSc, PhD, FRCS, Senior Lecturer1

1 Department of Trauma and Orthopaedics, St James’s University Hospital, Beckett Street, Leeds LS9 7TF, UK.

Correspondence should be sent to Professor P. V. Giannoudis; e-mail: pgiannoudi{at}aol.com

We report the management of an adult patient with septic sacroiliitis. This is an uncommon condition. Debridement, decompression and spontaneous fusion are the treatment of choice when symptoms do not resolve with routine initial intravenous antibiotic therapy. A percutaneous technique is described, using the principles of sacroiliac screw insertion commonly used for pelvic reconstruction surgery. After successful evacuation of the infected joint, fusion was observed in our patient.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General