Al-Khayer Ahmad, Hegarty Jim, Hahn David, Grevitt Michael Paul
Southern General Hospital, Glasgow, UK.
J Spinal Disord Tech. 2008 Jul;21(5):359-63. doi: 10.1097/BSD.0b013e318145ab96.
Consecutive case series.
To report a new percutaneous sacroiliac joint (SIJ) arthrodesis technique utilizing a Hollow Modular Anchorage screw.
A variety of SIJ arthrodesis techniques have been reported in the established academia to treat intractable SIJ pain. None combines minimal surgical exposure, instrumented fixation, and bone grating.
We describe a new percutaneous SIJ arthrodesis technique for patients with intractable SIJ pain. Preoperative and postoperative Oswestry Disability Index (ODI), Visual Analog Scale (VAS) for pain, and postoperative subjective patients' satisfaction were assessed for all patients. Minimum 2 years follow-up is documented.
Nine patients underwent SIJ arthrodesis with the new technique. The mean ODI value dropped from 59 (range: 34 to 70) preoperatively to 45 (range: 28 to 60) postoperatively (P<or=0.005). The mean VAS value dropped from 8.1 (range: 7 to 9) preoperatively to 4.6 (range: 3 to 7) postoperatively (P<or=0.002). The mean patients' satisfaction was 6.8 (range: 5 to 8).
The new technique may offer a safe and effective treatment for intractable SIJ pain.
连续病例系列。
报告一种使用空心模块化锚定螺钉的经皮骶髂关节融合新技术。
在现有学术领域中已报道了多种骶髂关节融合技术来治疗顽固性骶髂关节疼痛。但尚无一种技术能同时兼具最小手术暴露、器械固定和植骨。
我们描述了一种针对顽固性骶髂关节疼痛患者的经皮骶髂关节融合新技术。对所有患者术前及术后的奥斯威斯利功能障碍指数（ODI）、疼痛视觉模拟评分（VAS）以及术后患者主观满意度进行评估。记录的随访时间至少为2年。
9例患者采用新技术进行了骶髂关节融合。平均ODI值从术前的59（范围：34至70）降至术后的45（范围：28至60）（P≤0.005）。平均VAS值从术前的8.1（范围：7至9）降至术后的4.6（范围：3至7）（P≤0.002）。患者平均满意度为6.8（范围：5至8）。
新技术可能为顽固性骶髂关节疼痛提供一种安全有效的治疗方法。
