Journal article
Management of Sacroiliac Joint Pain
Journal of the American Academy of Orthopaedic Surgeons, v 26(17), pp 610-616
01 Sep 2018
PMID: 30059395
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Sacroiliac joint (SIJ)-based pain can be difficult to diagnose definitively through physical examination and conventional radiography. A fluoroscopically guided injection into the SIJ can be both diagnostic and therapeutic. The initial phase of treatment involves nonsurgical modalities such as activity modification, use of a sacroiliac (SI) belt, NSAIDs, and physical therapy. Prolotherapy and radiofrequency ablation may offer a potential benefit as therapeutic modalities, although limited data support their use as a primary treatment modality. Surgical treatment is indicated for patients with a positive response to an SI injection with >75% relief, failure of nonsurgical treatment, and continued or recurrent SIJ pain. Percutaneous SI arthrodesis may be recommended as a first-line surgical treatment because of its improved safety profile compared with open arthrodesis; however, in the case of revision surgery, nonunion, and aberrant anatomy, open arthrodesis should be performed.
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Details
- Title
- Management of Sacroiliac Joint Pain
- Creators
- Gary L. Schmidt - Allegheny Hlth Network, Orthopaed Inst, Pittsburgh, PA 15212 USAAmit K. Bhandutia - StrykerDaniel T. Altman - Stryker
- Publication Details
- Journal of the American Academy of Orthopaedic Surgeons, v 26(17), pp 610-616
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Orthopedic/Orthopaedic Surgery
- Web of Science ID
- WOS:000462408500007
- Scopus ID
- 2-s2.0-85056543195
- Other Identifier
- 991021897305804721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Orthopedics
- Surgery