Dawson P Ua, Dewar N A, Tulloch-Reid D
Physical Medicine and Rehabilitation, Faculty of Medical Sciences, the University of the West Indies, Kingston 7, Jamaica.
Kingston Public Hospital, North Street, Kingston, Jamaica.
West Indian Med J. 2014 Jan;63(1):109-11. doi: 10.7727/wimj.2012.293. Epub 2014 Jan 16.
Sacroiliitis, a condition commonly seen in Ankylosing Spondylitis, is well known to be one of the main pain generators of low back pain, which may result in difficulty with walking. A 20-year old male with history of ankylosing spondylitis presented to the University Hospital of the West Indies, Physical Medicine and Rehabilitation clinic, with a two-year history of right buttock, low back and groin pain. Radiographic evaluation revealed increased sclerosis and erosive changes in bilateral sacroiliac joints, right greater than left. Right intra-articular sacroiliac joint steroid injection was administered under fluoroscopy guidance. Post-injection visual analogue pain scale (VAS) score with activity improved from 8 to 1 and Oswestry Disability Index improved from 40% moderate disability to 16% minimal disability. The patient's overall assessment was 95% perceived improvement in pain. This case report illustrates the effectiveness of intra-articular sacroiliac joint steroid injection in treating sacroiliitis in ankylosing spondylitis.
骶髂关节炎是强直性脊柱炎中常见的病症，众所周知，它是下背痛的主要疼痛根源之一，可能导致行走困难。一名有强直性脊柱炎病史的20岁男性前往西印度群岛大学医院物理医学与康复诊所就诊，他有两年的右臀部、下背部和腹股沟疼痛病史。影像学评估显示双侧骶髂关节硬化增加且有侵蚀性改变，右侧比左侧更严重。在荧光透视引导下对右侧骶髂关节进行了关节内类固醇注射。注射后活动时视觉模拟疼痛量表（VAS）评分从8分改善至1分，奥斯威斯残疾指数从40%的中度残疾改善至16%的轻度残疾。患者的总体评估是疼痛改善了95%。本病例报告说明了骶髂关节内类固醇注射治疗强直性脊柱炎骶髂关节炎的有效性。
