Halo Formation and Resolution at 7-Year Follow-Up After Sacroiliac Joint Fusion Revision: A Case Report

Jason J. Haselhuhn; Arthur Mercado; Paul Brian O. Soriano; David W. Polly

doi:10.2106/JBJS.CC.23.00199

Halo Formation and Resolution at 7-Year Follow-Up After Sacroiliac Joint Fusion Revision: A Case Report

Jason J. Haselhuhn, Arthur Mercado, Paul Brian O. Soriano, David W. Polly

Orthopaedic Surgery

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Abstract

Case:A 49-year-old woman presented with low back pain after a work-related injury. She failed 5 months of conservative management and subsequently underwent minimally invasive (MI) left sacroiliac joint (SIJ) fusion with 3 triangular titanium implants. Four months postoperatively, she developed recurrence of symptoms and radiographic halo phenomenon about the implants. The cephalad and caudal implants were replaced with threaded self-tapping implants, and the middle implant was unable to be removed. At 7-year follow-up, the halo phenomenon had resolved.Conclusion:This is an unusual case of radiographic halo phenomenon formation after MI SIJ fusion and halo resolution after subsequent revision.

Original language	English (US)
Article number	e23.00199
Journal	JBJS case connector
Volume	13
Issue number	3
DOIs	https://doi.org/10.2106/JBJS.CC.23.00199
State	Published - Aug 17 2023

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© 2023 Lippincott Williams and Wilkins. All rights reserved.

Keywords

Sacroiliac joint fusion
halo phenomenon
radiolucencies
sclerotic rind

PubMed: MeSH publication types

Case Reports
Journal Article

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10.2106/JBJS.CC.23.00199

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abstract = "Case:A 49-year-old woman presented with low back pain after a work-related injury. She failed 5 months of conservative management and subsequently underwent minimally invasive (MI) left sacroiliac joint (SIJ) fusion with 3 triangular titanium implants. Four months postoperatively, she developed recurrence of symptoms and radiographic halo phenomenon about the implants. The cephalad and caudal implants were replaced with threaded self-tapping implants, and the middle implant was unable to be removed. At 7-year follow-up, the halo phenomenon had resolved.Conclusion:This is an unusual case of radiographic halo phenomenon formation after MI SIJ fusion and halo resolution after subsequent revision.",

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AU - Mercado, Arthur

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AU - Polly, David W.

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AB - Case:A 49-year-old woman presented with low back pain after a work-related injury. She failed 5 months of conservative management and subsequently underwent minimally invasive (MI) left sacroiliac joint (SIJ) fusion with 3 triangular titanium implants. Four months postoperatively, she developed recurrence of symptoms and radiographic halo phenomenon about the implants. The cephalad and caudal implants were replaced with threaded self-tapping implants, and the middle implant was unable to be removed. At 7-year follow-up, the halo phenomenon had resolved.Conclusion:This is an unusual case of radiographic halo phenomenon formation after MI SIJ fusion and halo resolution after subsequent revision.

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KW - radiolucencies

KW - sclerotic rind

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Halo Formation and Resolution at 7-Year Follow-Up After Sacroiliac Joint Fusion Revision: A Case Report

Abstract

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