Do Kyung Hee, Ahn Sang Ho, Jones Rodney, Jang Sung Ho, Son Su Min, Lee Dong Gyu, Cho Hee Kyung, Choi Gyu Sik, Cho Yun-Woo
*Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center, Seoul, Korea
Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, Korea.
Pain Med. 2016 Oct;17(10):1809-1813. doi: 10.1093/pm/pnw003. Epub 2016 Feb 25.
Sacroiliac joint (SIJ) injections have been used to provide short-term relief of SIJ pain. In this study, the authors investigated a new technique using a superior approach.
Twenty four patients with chronic SI joint paint were recruited. Each patient was treated with a single SIJ intra-articular injection plus a periarticular injection of local anesthetic and corticosteroid in one procedure. Technical accuracy of the intra-articular procedure was determined by having 2 independent observers review and rate the quality of arthrograms obtained. Treatment effects were evaluated using a numerical rating scale, the Oswestry disability index (ODI) and global perceived effect (GPE).
Both independent observers agreed that satisfactory arthrograms were obtained in all patients. Pain scores and disability were significantly reduced at 2 weeks and 4 weeks after treatment. Nineteen patients (79%) reported satisfaction with treatment. No serious adverse effects were encountered.
The superior approach consistently achieves good access to the SI joint, and achieves outcomes that are compatible with those of other techniques. The superior approach constitutes an alternative to other techniques for injections into the SI joint.
骶髂关节（SIJ）注射已被用于提供骶髂关节疼痛的短期缓解。在本研究中，作者研究了一种采用上位入路的新技术。
招募了24例慢性骶髂关节疼痛患者。每位患者在一次操作中接受单次骶髂关节腔内注射加关节周围局部麻醉剂和皮质类固醇注射治疗。关节腔内操作的技术准确性通过让2名独立观察者对所获得的关节造影质量进行评估和评分来确定。使用数字评分量表、Oswestry功能障碍指数（ODI）和总体感觉效果（GPE）评估治疗效果。
两名独立观察者均认为所有患者均获得了满意的关节造影。治疗后2周和4周时疼痛评分和功能障碍显著降低。19例患者（79%）报告对治疗满意。未遇到严重不良反应。
上位入路始终能很好地进入骶髂关节，并取得与其他技术相当的结果。上位入路是骶髂关节注射其他技术的一种替代方法。
