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Observational Study
. 2021 Apr;21(4):404-410.
doi: 10.1111/papr.12967. Epub 2020 Dec 1.

The Success Rate of Ultrasound-Guided Sacroiliac Joint Steroid Injections in Sacroiliitis: Are We Getting Better?

Ahmed Zaghloul Fouad  1 , Amany Ezzat Ayad  1 , Karim Alaaeldin Wagdi Tawfik  1 , Eslam Ayman Mohamed  1 , Mohamed Ahmed Mansour  1
Affiliations
Observational Study

The Success Rate of Ultrasound-Guided Sacroiliac Joint Steroid Injections in Sacroiliitis: Are We Getting Better?

Ahmed Zaghloul Fouad et al. Pain Pract. 2021 Apr.

Abstract

Background: The sacroiliac joint is one of the most common sources of low back pain; however, it is difficult to place the needle accurately inside the joint space without image guidance. Improvement of ultrasound technology may lead to a high success rate for intra-articular drug deposition.

Objective: Assessment of the success rate of ultrasound-guided intra-articular sacroiliac joint injection.

Design: Prospective observational study.

Methodology: Ultrasound-guided injections were performed on 34 patients suffering from sacroiliitis. After injection of the drug solution and withdrawal of the needle, an anteroposterior fluoroscopy image was obtained and recorded for the injected joint to detect whether it was predominantly intra-articular or peri-articular. Clinical outcome using a numeric pain rating scale as well as limitation of physical functioning measured by the Oswestry Disability Index (ODI) were determined.

Results: Thirty-three injections (84.6%) were intra-articular, while 6 injections (15.4%) were peri-articular, as confirmed by fluoroscopy, with no statistical difference regarding clinical outcome between them. The baseline mean pain score decreased from 7.21 to 1.92 1 month after injection, and the mean ODI scores improved from 61.41% to 17.13%. Intervention was well tolerated, and 91.2% of patients were satisfied or mostly satisfied.

Conclusion: Ultrasonography provides a high success rate of intra-articular sacroiliac joint injection as confirmed by fluoroscopy. No significant difference in clinical outcome between intra-articular and peri-articular injection was found.

Keywords: fluoroscopy; joint; sacroiliac; ultrasound.

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References

    1. Harmon D, O’Sullivan M. Ultrasound-guided sacroiliac joint injection technique. Pain Physician. 2008;11:543-547.
    1. Schwarzer AC, Aprill CN, Bogduk N. The sacroiliac joint in chronic low back pain. Spine. 1995;20:31-37.
    1. Wiesel SW, Cuckler JM, Deluca FR, Jones FR, Zeide MS, Rothman RH. Acute low-back pain. An objective analysis of conservative therapy. Spine (Phila Pa 1976). 1980;5:324-330.
    1. Koes BW, van Tulder MW, Ostelo R, Burton AK, Waddell G. Clinical guidelines for the management of low back pain in primary care: an international comparison. Spine (Phila Pa 1976). 2001;26:2504-2513.
    1. Foster NE, Anema JR, Cherkin D, et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet. 2018;391:2368-2383.

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