On March 24, ISASS sent a letter to the Work Loss Data Institute requesting an update to the outdated Official Disability Guidelines for Sacroiliac Joint (SIJ) pain. ISASS takes issue with the current guidelines which support minimally invasive sacroiliac joint (MIS SIJ) fusion for conditions such as SIJ infection, tumor, and spondyloarthropathy, conditions for which high-quality evidence supporting superiority over non-surgical treatment is completely lacking. The guidelines dismiss two high-quality randomized trials in patients with chronic SIJ dysfunction showing superiority of MIS SIJ fusion over non-surgical treatment. ISASS requests revision of the guidelines to better reflect the level of available evidence and to follow standard scientific approaches to evidence interpretation. Click here to view the letter.