• Users Online: 133
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2018  |  Volume : 5  |  Issue : 2  |  Page : 80-97

Sacroiliac joint denervation, the joint and ligaments: aretrospective study and algorithm


1 Department of Anesthesiology, Alexandria University, Alexandria, Egypt
2 Advanced Pain Therapeutics of Knoxville, Knoxville, Tennessee, USA

Correspondence Address:
Mohammad-Hazem Ahmad-Sabry
Department of Anesthesiology, Alexandria University, Alexandria, 21111
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/roaic.roaic_44_17

Rights and Permissions

Introduction We included patients who had sacroiliac joint complex pain (SIJCP) and failing all conservative approaches to alleviate SIJCP, all had SI joint procedure with fluoroscopic guidance. Some had more than 3 months of better than 50% with SI steroid injection (62/144 patients), others became candidates for sacroiliac joint complex sensory radiofrequency (RF) denervation for long-term pain relief (24 patients), with facet denervation (22 patients) or with piriformis injection (19 patients). Materials and methods In all, 170 patient charts were reviewed, and 17 were excluded for unclear block results and 26 for discogenic pathology. Fluoroscopy and 10 or 15-mm active tip RF cannula was used. An imaginary stripline was drawn about 3–5 cm medial and parallel to the joint line. Posterior primary sensory denervation was then carried out through 10–15 mm segments in series. Denervation was repeated 9–12 months later if greater than 50% of original pain had returned (first repeat and second repeat). The denervation process was then expanded to other sets of patients having (II) SIJCP plus ipsilateral lumbar facet pain and (III) SIJCP plus ipsilateral piriformis syndrome exclusively. Results All groups showed an increase in activities of daily living (through Oswestry Scores), better pain score, and at least 45 weeks improvement of pain score after RF denervation. Conclusion SIJCP can be effectively (50% or better) reduced for 4.5 months with steroid injection, or 10–12 months with denervation. The procedures were repeated once or twice with the same effectiveness. The method of pain management through our approach is effective, safe, simple, and reproducible.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed226    
    Printed26    
    Emailed0    
    PDF Downloaded44    
    Comments [Add]    

Recommend this journal