CT-guided stabilization for chronic sacroiliac pain: A preliminary report

Title

CT-guided stabilization for chronic sacroiliac pain: A preliminary report

Creator

Ziran B H; Heckman D; Smith W R

Publisher

Journal of Trauma-Injury Infection and Critical Care

Date

2007
2007-07

Description

Background: We evaluated a percutaneous, computed tomographic, stabilization from S1 to S2, for chronic painful sacroiliac disease. Our hypothesis was that this technique carries low morbidity, and may provide substantial relief of recalcitrant sacroiliac pain. Methods: 17 patients had CT guided injection with local anesthesia and steroid to confirm the diagnosis. If symptoms recurred, they had a CT guided stabilization using only local anesthesia and conscious sedation. Outcome was evaluated with a visual analog scale. Univariate analysis and Spearman correlations used for analysis. Results:: Pain improved from a mean of 8.3 pre-injection to 3.5 post-injection and remained at 3.3 at final follow up. Four patients had complete relief, 11 patients had significant pain relief, and two patients experienced little to no pain relief. There was a statistically significant difference between pre-injection and post injection pain scores (p < 0.0001), final and pre injection pain scores (p < 0.0001), but not between the post injection and final pain scores (p = 0.8906). A statistically significant correlation (p < 0.02) was found between final pain score and the difference between pre and post injection scores. There were no infections, hardware or technical complications. Conclusioms: This technique appeared effective in relieving the majority of confirmed sacroiliac pain and appeared to be lasting with few complications. While we did not confirm nor deny an arthrodesis with this technique, it appears that stabilization of the sacroiliac joint may have resulted in enough stability (e.g. alkalosis, mechanical restriction) that it relieved symptoms.

Subject

anatomy; closed reduction; General & Internal Medicine; iliosacral screw fixation; internal-fixation; joint pain; low-back-pain; pelvic ring disruptions; placement; sacral fractures; sacroiliac joint; SIJ fixation; SIJ injection; Surgery; tomography

Format

Journal Article

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

90-96

Issue

1

Volume

63

Citation

Ziran B H; Heckman D; Smith W R, “CT-guided stabilization for chronic sacroiliac pain: A preliminary report,” NEOMED Bibliography Database, accessed April 20, 2021, https://neomed.omeka.net/items/show/7661.

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