Where the pelvis meets the spine
Understanding the sacroiliac joint
The sacroiliac joints sit between the sacrum and the ilium bones on each side of the pelvis. Strong ligaments connect them, and together they help transfer the upper body’s weight through the pelvis.
SI joint pain can be associated with injury to surrounding ligaments, prior spine surgery, differences in leg length or pelvic structure, pregnancy and postpartum changes, infection, inflammation, or ankylosing spondylitis.
A focused evaluation matters
Symptoms from the SI joint can overlap with lumbar spine, hip, and nerve conditions. Physical examination, provocative testing, imaging, and sometimes diagnostic injections may help identify the pain source.

Aurora illustration showing the posterior transfixing bridge across the SI joint.
Recognizing the pattern
Symptoms that can occur with SI joint pain
These symptoms do not establish a diagnosis. A clinician must determine whether the SI joint or another structure is responsible.

Manufacturer-supplied SiLO TFX product rendering.
The transfixing SI joint fusion system
How SiLO TFX is designed
Aurora describes the SiLO TFX Transfixing Bridge as a titanium-alloy implant with a hollow, conical barrel and lateral openings that allow bone-graft material to promote fusion.
Two holes accept transfixing screws through the sacrum and ilium. Together, the bridge and screws are designed to provide three points of fixation across the joint.
Procedure overview
A posterior approach to SI joint fusion
The supplied material describes a single posterior incision and a construct that bridges the SI joint. Your physician will explain diagnosis, preparation, anesthesia, imaging, graft material, fixation, recovery, alternatives, and risks.
Manufacturer education
See the SiLO TFX procedure
Aurora supplied both a patient animation and a more detailed surgical-technique animation.
Patient animation
A patient-oriented overview of the SiLO procedure.
Surgical-technique animation
A detailed procedural animation supplied by Aurora Spine.
Approved patient resources
Learn more about SiLO TFX
Aurora supplied English and Spanish patient brochures along with its current public product page.
Important information
This information is intended to be general and does not represent medical advice or recommendations. Evaluation and examination by a physician are necessary. Aurora’s patient brochure warns that use of the implant has potential limitations; patients should see the package insert for complete information. U.S. law restricts these devices to sale by or on the order of a physician.
Procedures and implants carry risks, and individual results vary. Your physician should explain potential benefits, risks, alternatives, and recovery expectations for your condition.
SiLO and SiLO TFX are trademarks of Aurora Spine. Rx only.
