Surgical Treatment of Pelvic Joint Instability in Patients With Severe Pelvic Girdle Pain After Pregnancy and Trauma
Surgical Treatment of Pelvic Joint Instability in Patients With Severe Pelvic Girdle Pain After Pregnancy and Trauma
Pelvic girdle pain (PGP) related to pregnancy is a common reason to sick leave during
 pregnancy. Low back pain and PGP affects about 50% of women during pregnancy. Most of the
 women recover, however about 10% of the women still have complaints after birth. Most
 patients have positive effect from conservative treatment, but unfortunately some do still
 have much pain despite intensive conservative rehabilitation. Surgery has been tried on these
 women with various results. Surgical treatment is controversial and there is a lack of
 documentation. The investigators will operate 20 patients with arthrodesis to the sacroiliac
 joint and symphysis. Radiostereometric analysis (RSA) will be used to evaluate the joint
 movement in different part of the process.

 Hypothesis: Severe pelvic girdle pain is caused by pelvic joint instability in some cases and
 surgically fixation of the affected joints can help these women to get back to a normal life.
Inclusion Criteria:

 -  Pain in one or more pelvic joints.

 -  Minimum 2 positive clinical tests.

 -  High pain and disability score

 -  Tried adequate physiotherapy without effect.

 Exclusion Criteria:

 -  Known psychiatric diagnosis

 -  Other spine pathology

 -  CT verified ankylosis

 -  BMI>30