The neurosurgeons at the “Heart and Brain” – Center of Clinical Excellence in Pleven performed the first minimally invasive surgical stabilization of the sacroiliac joint in the country
At the Neurosurgical Clinic of “Heart and Brain” – Center of Clinical Excellence in Pleven was performed the first minimally invasive surgical stabilization of the sacroiliac joint (SIJ) in Bulgaria, using the latest titanium 3D implants of SI-Bone (USA). The neurosurgeons who performed the surgery – Prof. Nikolay Raynov and Dr. Dimitar Haritonov – emphasized the fact that this stabilization technique is extremely safe, fast, and mild and it allows patients to be mobilized only a few hours after the surgery.
SIJ is the cause of chronic pain in the area of the waist, pelvis and legs in more than 25% of patients with such symptoms, but it is still underestimated in the differential diagnosis of spinal diseases. The SIJ dysfunction is a state of altered mechanics with increase or decrease of the expected normal movement or the presence of pathological movements.
Making the diagnosis “painful arthrosis of the sacroiliac joints” is a challenge for medical professionals, because the reliability and validity of the used clinical trials remain insufficient even today. The imaging diagnosis is able to detect the wear of the SIJ, but not to make the final diagnosis, which has to be confirmed not only by clinical studies but also by diagnostic injections of analgesic medications in the joint.
Within the first in Bulgaria Center for Treatment of Chronic Pain at “Heart and Brain” – Center of Clinical Excellence, Pleven, which is currently being created, a complete diagnosis of the chronic pain in the waist and the legs is carried out and the most suitable treatment is appointed for each case. Inclusion of SIJ in the diagnosis and treatment of this pain will allow to significantly increase the rate of successfully treated patients who have not yet been diagnosed correctly and continue to suffer from chronic pain despite the fact that the spine has been treated or operated repeatedly.
Prof. Raynov is the leading specialist in Europe based on the number of SIJ operated by him. Together with Dr. Haritonov, they carry out the transfer of neurosurgical technique, instrumentation and clinical experience for the treatment of SIJ from abroad to the “Heart and Brain” – Center of Clinical Excellence in Pleven.
Anatomical localization of SIJ and placement of titanium 3D implants for stabilization of the joint.
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