There are various causes leading to sacroiliitis but in some cases the origin of the disease is unknown. These are:
Trauma (e.g. car accident with strong impact while pressing the break pedal)
Falls
Prolonged sacro-iliac joint dysfunction
Infection (bacteria migrating and depositing in the sacro-iliac joint)
Leg length discrepancy
Chronic arthritic conditions (rheumatoid/psoriatic arthritis, Reiter's syndrome, autoimmune spondylo-arthropathy)
Pregnancy