For those with chronic sacroiliac (SI) joint pain, implant-based SI joint fusion is a minimally invasive procedure offering long-term relief. It involves placing specialized implants, like titanium devices, to stabilize and fuse the SI joint, thus reducing pain and improving function. The choice of implant relies on individual factors and the surgeon's evaluation.

This procedure is done through a small incision with imaging guidance to place the implant accurately, minimizing muscle disruption and speeding recovery compared to open surgeries. Many patients resume daily activities within weeks.

Preparing for surgery is essential. An anti-inflammatory diet and nutritional supplements can aid healing. Avoid food for 8 hours before the procedure, but clear liquids are usually allowed up to 2 hours before. If on blood thinners, follow your doctor’s instructions about when to stop them. Cleanse the surgical site with a pre-surgical wash like Hibiclens® to reduce infection risk.

Arrange for someone to drive you home, as this same-day surgery takes about 3 hours from check-in to discharge. Post-surgery, avoid heavy lifting, bending, or twisting for at least 6 weeks. Full implant fusion can take 6-8 months, so follow your post-operative instructions closely.

Avoid falling to ensure the procedure’s success. Using ice packs and pain relievers for mild discomfort is normal. Keep the incision dry for 72 hours and refrain from soaking in water. Support recovery with a nutrient-rich diet, hydration, and good sleep. A back brace may be needed for 7 days post-op for added support.

Physical therapy, starting 6-8 weeks after surgery, aids in restoring mobility and strength. SI joint fusion with a transfixing implant provides structural support and pain relief, though there's some risk of non-fusion and potential implant failure. Following post-op guidelines and attending follow-up visits are crucial for a successful outcome. Contact your medical team with any concerns.