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Percutaneous sacroiliac joint fusion

Minimally Invasive Spine at Specialty Medical Center.

Person holding their lower back
Written by the Specialty Medical Center editorial teamNot individually reviewed by a physicianApproved for publication by SMC, October 31, 2026How we write and review

What is percutaneous sacroiliac joint fusion?

When the sacroiliac (SI) joint, where the spine meets the pelvis, is the confirmed source of long-lasting low back and buttock pain, a minimally invasive fusion stabilizes the joint with small implants placed through a short incision or skin puncture.

Who it may help

  • SI joint pain confirmed with diagnostic injections
  • Pain lasting six months or more despite therapy and injections

What happens

Under anesthesia, implants are placed across the joint with X-ray guidance through a small incision on the side or back of the pelvis.

Recovery and outlook

Most people go home the same day or next. Limited weight on that side for a few weeks is common, followed by physical therapy.

Risks

Infection, bleeding, nerve irritation, implant problems, and persistent pain.

Other options to discuss

Cost and coverage

When a procedure is medically necessary, it is usually billed to health insurance, Michigan auto no-fault or workers' comp. Many plans need prior authorization. Our team checks your benefits before your procedure is scheduled and tells you about any cost you're likely to owe. See who usually pays · Ask us to check your coverage

Where to get care at Specialty Medical Center

Consultations are at our spine and pain offices in Dearborn, Sterling Heights and Garden City. Part of Minimally Invasive Spine Center.

Eduardo José Otero Loperena, MDInterventional pain medicineMohamed Osman, MDPain managementAaron Greenberg, DOPhysical medicine and rehabilitation

Who performs procedures, and where:

  • Dr. Eduardo José Otero: Universal Care Surgery Center
  • Dr. Mohamed Osman and Dr. Aaron Greenberg: Universal Care Surgery Center and Advanced Surgery Center
  • Dr. Roy Torcuator: Advanced Surgery Center and Garden City Hospital

Office injections are done in our offices. Your physician confirms who performs your procedure, and where, at your consultation.

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This page gives general information. Your physician will explain whether a treatment fits you, its risks and the alternatives.