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The Journal of Bone and Joint Surgery 80:1043-48 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Late Posterior Instability of the Pelvis after Resection of the Symphysis Pubis for the Treatment of Osteitis Pubis. A Report of Two Cases*

RICHARD S. MOORE, JR., M.D.{dagger}, MICHAEL D. STOVER, M.D.{ddagger} and JOEL M. MATTA, M.D.§, LOS ANGELES, CALIFORNIA

Investigation performed at the Good Samaritan Hospital, Los Angeles


   Introduction
 
Inflammation of the symphysis pubis, commonly known as osteitis pubis, is a painful disorder of uncertain etiology. The onset of osteitis pubis has frequently been reported after urological or gynecological procedures and is associated with a number of conditions, including trauma, rheumatological disorders, pregnancy, and parturition3,6,8,9,12,15. In most patients, symptoms of osteitis pubis resolve spontaneously; however, a small number of patients have pain that persists indefinitely.

Resection of the symphysis has been recommended for the treatment of osteitis pubis that is unresponsive to non-operative management. Several authors have reported early relief of symptoms with this procedure; however, the long-term effect of resection of the symphysis on the integrity of the ligaments of the sacroiliac joint is of concern3,6,14. We report on two patients in whom debilitating posterior instability of the pelvis developed and necessitated operative stabilization twelve and eighteen years after wedge resection of the symphysis pubis for . . . [Full Text of this Article]


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