The Therapeutic Efficacy of Sacroiliac Joint Blocks With Triamcinolone Acetonide in the Treatment of Sacroiliac Joint Dysfunction Without Spondyloarthropathy
- 1 April 2009
- journal article
- clinical trial
- Published by Ovid Technologies (Wolters Kluwer Health) in Spine
- Vol. 34 (9), 896-900
- https://doi.org/10.1097/brs.0b013e31819e2c78
Abstract
Prospective case series. The study aimed to investigate the therapeutic efficacy of sacroiliac joint (SIJ) blocks with triamcinolone acetonide in patients with SIJ pain without spondyloarthropathy. Numerous studies have demonstrated that SIJ blocks with corticosteroid/anesthetic provide long-term pain relief in seronegative spondyloarthropathy. However, only one report on SIJ dysfunction patients without spondyloarthropathy shows promising results. We conducted a prospective observational study of patients at a University Spine Center from March 2005 to May 2006. The above mentioned SIJ blocks were performed in 150 patients, and dual SIJ blocks confirmed SIJ pain in 39 patients (26%). Twenty-six patients (66.7%) experienced significant pain reduction for more than 6 weeks; the overall mean duration of pain reduction in these responders was 36.8 ± 9.9 weeks. SIJ blocks were ineffective in 13 patients (33.3%); the mean duration of pain reduction in these patients was 4.4 ± 1.8 weeks. Univariate analysis revealed that treatment failure was significantly associated with a history of lumbar/lumbosacral fusion (P = 0.03). SIJ blocks with triamcinolone acetonide are beneficial for some patients with SIJ pain without spondyloarthropathy. The SIJ blocks showed a long-lasting efficacy in two-thirds of the patients; however, the duration of its efficacy was shorter in patients with a history of lumbar/lumbosacral fusion. These findings suggest the need for further studies.Keywords
This publication has 18 references indexed in Scilit:
- Age, Body Mass Index, and Gender Differences in Sacroiliac Joint PathologyAmerican Journal of Physical Medicine & Rehabilitation, 2007
- Sacroiliac Joint Pain: A Comprehensive Review of Anatomy, Diagnosis, and TreatmentAnesthesia & Analgesia, 2005
- Audit of Conservative Management of Chronic Low Back Pain in a Secondary Care Setting – Part I: Facet Joint and Sacroiliac Joint InterventionsAcupuncture in Medicine, 2004
- Fluoroscopically Guided Therapeutic Sacroiliac Joint Injections for Sacroiliac Joint SyndromeAmerican Journal of Physical Medicine & Rehabilitation, 2001
- Interventional MR Imaging for Injection of Sacroiliac Joints in Patients with SacroiliitisAmerican Journal of Roentgenology, 2000
- Sacroiliac joint pain referral zonesArchives of Physical Medicine and Rehabilitation, 2000
- Fluoroscopy-guided Sacroiliac Joint InjectionsRadiology, 2000
- CT-Guided Sacroiliac Joint InjectionsJournal of SPINAL DISORDERS, 1999
- Results of Sacroiliac Joint Double Block and Value of Sacroiliac Pain Provocation Tests in 54 Patients With Low Back PainSpine, 1996
- ASSESSMENT OF THE EFFICACY OF SACROILIAC CORTICOSTEROID INJECTIONS IN SPONDYLARTHROPATHIES: A DOUBLE-BLIND STUDYRheumatology, 1996