مقارنة تحليلية بين حقن المفصل العجزي الحرقفي باستخدام الإيكو، و استخدام التنظير الشعاعي عند مرضى التهاب المفصل العجزي الحرقفي
Other Title(s)
Comparative analysis of fluoroscopic-guided and ultrasound-guided sacroiliac joint injection in patient with clinical sacro comparative analysis of fluoroscopic-guided and ultrasound-guided sacroiliac joint injection in patient with clinical sacroiliitisiliitis
Joint Authors
Source
Issue
Vol. 38, Issue 3 (30 Sep. 2022), pp.223-238, 16 p.
Publisher
Publication Date
2022-09-30
Country of Publication
Syria
No. of Pages
16
Main Subjects
Abstract EN
Background and Objective Sacroiliac joint (SIJ) arthritis is a common cause of chronic mechanical low back pain (LBP), The complex anatomy of sacroiliac joint (SIJ) mandates an imaging modality to perform the diagnostic or therapeutic joint injection.
That is often treated with injection of local anesthetic with or without steroids.
Ultrasound (US) has emerged as a viable alternative to fluoroscopy to guide SIJ injections; however, few studies have compared these modalities, we compared both accuracy and efficacy of US and FL guidance for SIJ injections Materials and Methods: We made randomized prospective study included forty consecutive patients with median to severe chronic low back pain treated with one side sacroiliac joint injection.
Patients ages range between 20- 80year old patients with sacroiliitis were randomly allocated into two groups, and were given SIJ injection using either fluoroscopy or ultrasound as a guide to intervene., the injection was done in Al Mouwasat University Hospital, Clinical assessments were carried out at a baseline after one week, month, 3-month follow-up visit using the visual analog scale for pain, Oswestry Disability Index for disability-specific measure and Macnab criteria for global effectiveness, and compared through analysis using paired-samples “t” tests Results: Analysis of Visual Analog Scale one-week post-procedure showed a significant decrease in both groups: 12.5% in Echo group (p = 0.002) and 9.5% in fluoroscopic group (p = 0.006).
No significant difference in NRS between two groups at one- and three-months post-procedure (p = 0.11 and 0.1, respectively).
Comparison of ODI at three-month post-procedure revealed that both groups had a statistically significant improvement (p < 0.0001).
There was no significant difference in Oswestry Disability Index between two groups at three-months post-procedure (p = 0.01) Conclusion: Ultrasound-guided Sacroiliac joint injection has similar accuracy and efficacy to fluoroscopy guided Sacroiliac joint injection in patients with chronic low back pain secondary to Sacroiliac joint arthritis.
American Psychological Association (APA)
الشلق، عبد الله ورستم، فاتن. 2022. مقارنة تحليلية بين حقن المفصل العجزي الحرقفي باستخدام الإيكو، و استخدام التنظير الشعاعي عند مرضى التهاب المفصل العجزي الحرقفي. مجلة جامعة دمشق للعلوم الطبية،مج. 38، ع. 3، ص ص. 223-238.
https://search.emarefa.net/detail/BIM-1431746
Modern Language Association (MLA)
الشلق، عبد الله ورستم، فاتن. مقارنة تحليلية بين حقن المفصل العجزي الحرقفي باستخدام الإيكو، و استخدام التنظير الشعاعي عند مرضى التهاب المفصل العجزي الحرقفي. مجلة جامعة دمشق للعلوم الطبية مج. 38، ع. 3 (2022)، ص ص. 223-238.
https://search.emarefa.net/detail/BIM-1431746
American Medical Association (AMA)
الشلق، عبد الله ورستم، فاتن. مقارنة تحليلية بين حقن المفصل العجزي الحرقفي باستخدام الإيكو، و استخدام التنظير الشعاعي عند مرضى التهاب المفصل العجزي الحرقفي. مجلة جامعة دمشق للعلوم الطبية. 2022. مج. 38، ع. 3، ص ص. 223-238.
https://search.emarefa.net/detail/BIM-1431746
Data Type
Journal Articles
Language
Arabic
Notes
يتضمن مراجع ببليوجرافية : ص. 237-238
Record ID
BIM-1431746