Finding qualified and trained physician superspecialists in interventional orthobiologics who understand how to use sophisticated image guidance is very hard in the U.S. Finding locally trained physicians with these credentials in Latin America is almost impossible.
SI joint fusion is all the rage right now. My last in-depth update on this topic was in 2019 and 2020. My conclusion back then was to ask why we were fusing the SI joint when we can easily treat lax ligaments through injection with far fewer complications.
-Chris Centeno, MD