骶髂关节封闭术对腰骶融合相关骶髂部疼痛患者的中期治疗效果

Middle-term therapeutic effect of the sacroiliac joint blockade in patients with lumbosacral fusion-related sacroiliac pain.

作者信息

Büker Nihal, Akkaya Semih, Gökalp Oğuzhan, Kıtış Ali, Savkın Raziye, Kıter A Esat

机构信息

School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey.

Department of Orthopedics and Traumatology, Pamukkale University Faculty of Medicine, Denizli, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2014;48(1):61-6. doi: 10.3944/AOTT.2014.3190.

DOI:10.3944/AOTT.2014.3190

PMID:24643102

Abstract

OBJECTIVE

The aim of this study was to compare the therapeutic effect of sacroiliac (SI) blockade in patients with and without lumbosacral fusion.

METHODS

This study included 72 patients diagnosed with SI pain and who received blockade injection (methylprednisolone and lidocaine). Patients were divided into 2 groups; 22 patients in the fusion group who underwent previous lumbosacral fusion and 50 patients in the non-fusion group. Average follow-up was 17.7 (range: 6 to 30) months. All patients were evaluated before and after intervention using the Visual Analog Scale (VAS), Oswestry Disability Index, Rivermead Mobility Index and SF-36. Results were statistically analyzed.

RESULTS

Activity pain (a component of VAS) was significantly better in the non-fusion group than the fusion group (p=0.042). No other statistically significant differences were observed between groups (p>0.05).

CONCLUSION

Sacroiliac blockade has a similar therapeutic effect on patients who underwent lumbosacral fusion surgery as on non-operated patients in the middle-term. Therefore, alternative treatment options are not necessary in patients with fusion.

摘要

目的

本研究旨在比较骶髂关节（SI）阻滞对接受和未接受腰骶融合术患者的治疗效果。

方法

本研究纳入72例被诊断为SI疼痛并接受阻滞注射（甲基强的松龙和利多卡因）的患者。患者分为2组；融合组22例，此前接受过腰骶融合术，非融合组50例。平均随访时间为17.7（范围：6至30）个月。所有患者在干预前后均使用视觉模拟量表（VAS）、Oswestry功能障碍指数、Rivermead活动指数和SF - 36进行评估。对结果进行统计学分析。