Dolor sacroilíaco: diagnóstico y tratamiento

Cahueque, M; Ardebol, J; Armas, J; Azmitia, E

doi:10.35366/100937

Cited by 1 publication

(4 citation statements)

References 27 publications

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“…Considering α = 5% and β = 80%, it was suggested that 50 patients with SIJD would be enough to evaluate the order of treatment complexity. 1,9,16 Because the power test defined 50 patients, and the incidence of sacroiliac pain was defined around 15-30% of all low back pain, 1,2,3 we were alert that around 200 subsequent patients with complaints of low back pain would be necessary to reach 50 patients suffering from SIJD.…”

Section: Discussionmentioning

confidence: 99%

“…The sacroiliac joint accounts for approximately 16 to 30% of cases of chronic mechanical low back pain. 1,2,3,4 In our study, 192 of the patients referred to the Pain Clinic during seven consecutive months with low back pain, were successively evaluated. When three of the six maneuvers are positive, the sensitivity of diagnosis is 85 to 94%, and specificity is approximately 78%, 18,19 50 patients were positively selected for the IA sacroiliac joint block (26%) in accordance with others.…”

Section: Discussionmentioning

confidence: 99%

“…When three of the six maneuvers are positive, the sensitivity of diagnosis is 85 to 94%, and specificity is approximately 78%, 18,19 50 patients were positively selected for the IA sacroiliac joint block (26%) in accordance with others. 1,2,4,16 Individually, they have weak predictive value, but combined batteries of tests can help clarify the diagnosis. A meta-analysis showed that the thigh thrust test, the compression test, and 3 or more positive stressing tests have discriminative power for diagnosing SI joint pain.…”

Section: Discussionmentioning

confidence: 99%

“…The best definition is reproduced by at least three maneuvers and pain decrease with local infiltration of anesthetics into the articulation. 1,2,3,4 Following diagnostic, treatment includes Intra-articular (IA) sacroiliac joint infiltrations with local anesthetic and corticosteroids, which holds the highest evidence rating (1 B+). If the latter fails or produce only short-term effects, cooled radiofrequency (RF) approach of the lateral sacral branches is recommended (2 B+).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Disfunción de la articulación sacroilíaca y dolor lumbar. Evaluación en una población brasileña

Lopes,

Rocha-Lauretti,

Defino

et al. 2023

Acta Ortopédica Mexicana

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The study intended to evaluate the incidence and evolution of sacroiliac joint dysfunction (SIJD). To reach 50 patients with SIJD diagnosis, 192 patients with low back pain and failure in conservative approach were consecutively examined (26% incidence). Initially patients underwent intra-articular (IA) corticosteroid sacroiliac joint (SIJ) block followed, if necessary, by cooled SIJ radiofrequency or referred to surgical intervention, in order of complexity. From the 50 patients submitted to IA SI block, 41 (82%) referred pain and quality of life improvement and lesser rescue analgesics consumption for 25 weeks. The block induced a prompt onset of pain relief and there was a drop in mean pain score from 8 to 2 cm (p < 0.001) maintained up to 25 weeks. Rescue analgesic consumption also significantly dropped (p < 0.05). However, nine patients (18%) did not refer long lasting improvement in the third week evaluation and underwent cooled radiofrequency. From this population of nine, seven were successful (78%) while two were recommended surgery. In view of the 50 patients, 82% were comfortable after IA block, 18% were submitted to radiofrequency, with a success rate of 78%. The final incidence of surgery suggestion was 4%.

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Section: Discussionmentioning

confidence: 99%