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Pushing For Change - July 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 100 of 110

implant systems that can end the pain they feel every time they sit, stand, sleep or simply try to get through their day. The "hidden cause" Many physicians and patients don't know that 15% to 20% of back pain is related to sacroiliac disorder, according to Jordi Kellogg, MD, a neu- rosurgeon with Kellogg Brain & Spine who operates in outpatient sur- gery centers in Portland, Ore. When one or both sacroiliac joints, located at the intersection of the lower spine and the pelvis, are inflamed, patients feel pain in the lower back and buttocks that often radiates down one or both legs. That's why sacroiliitis is often mistak- en for sciatica, and often goes untreated for years, says Dr. Kellogg. The condition also mimics symptoms of herniation and spondylosis and is often misdiagnosed as one of those conditions. Properly working sacroiliac joints stabilize and support the body and absorb much of the impact from walking, lifting and other activi- ties. Sacroiliac dysfunction, essentially, is when the joints start to shift. The unwanted articulation is caused by all kinds of trauma, including multiple or traumatic pregnancies, motor vehicle accidents and falls, says Omar Gonzalez, a physician's assistant at Kellogg Brain & Spine. Sacroiliitis can also be a sequela of previous spine fusions, which increase the load on the sacroiliac joints. The symptoms often appear years after the fusions took place. An implant that works Dr. Kellogg has used an implant system more than 20 times over the last three years that he thinks offers his patients a better option than other surgical treatments. The minimally invasive technique includes making 3-cm incisions along the side of the buttocks. Three titanium implants are then placed in the sacroiliac joints, using continuous J U L Y 2 0 2 0 • O U T P A T I E N T S U R G E R Y . N E T • 1 0 1

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