Türk Nöroşirürji Dergisi 2016 , Vol 26 , Num 3
Fluoroscopy-Guided Sacroiliac Joint Injection in Idiopathic Sacroiliac Joint Dysfunction
Ümit KOCAMAN1, Hakan YILMAZ2, Muhammet Bahadır YILMAZ3, Mehmet Haluk ÖZER3
1İzmir Çiğli Bölge Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, İzmir, Türkiye
2Uşak Devlet Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Uşak, Türkiye
3İzmir Üniversitesi Medikal Park Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, İzmir, Türkiye
AIM: Sacroiliac joint dysfunction is common etiological cause of the pain in 10-27% of the patients with mechanical low back pain. The aim of the study is determining the pain control efficiency of fluoroscopy-guided sacroiliac joint injection in patients with sacroiliac joint dysfunction absence of organic pathology.

MATERIAL and METHODS: Seventy-two patients, who applied to our outpatient clinic with low back and hip pain between January 2015 and January 2016, who had not organic pathology in the examinations, who did not benefit from medical treatment and physical therapies, who had diagnoses of idiopathic sacroiliac dysfunction, were performed fluoroscopy-guided intra-articular local anesthetic and corticosteroid injection in the operating room. We evaluated the visual analog scale (VAS) score of the patients at preoperatively, early postoperatively and third month control.

RESULTS: Seventy-two patients, who had sacroiliac dysfunction and who didn’t respond to conservative theraphy, underwent fluoroscopy-guided intraarticular injection. Preoperatively average VAS score of the patients was 7.8, postoperatively average VAS score was 2.2 and third month average VAS score was 2.0 (success rate 97.2%). The process could not reduce the pain in 2 patients. Major complication was not seen in our study.

CONCLUSION: Sacroiliac joint injections are primary and effective treatment method in patients with idiopathic sacroiliac joint dysfunction who didn’t respond to conservative treatment. Anahtar Kelimeler : Injection, Fluoroscopy, Sacroiliac joint, Dysfunction