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骶髂关节。

The Sacroiliac Joint.

作者信息

Polly David W

机构信息

Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Avenue South, Minneapolis, MN 55454, USA; Department of Neurosurgery, University of Minnesota, 420 Delaware Street SE, Minneapolis, MN 55455, USA.

出版信息

Neurosurg Clin N Am. 2017 Jul;28(3):301-312. doi: 10.1016/j.nec.2017.03.003.

Abstract

The sacroiliac joint moves 2.5°. It is innervated with nociceptive fibers. It is a common cause of low back pain (15%-30%). Degenerative changes occur, especially after lumbosacral fusion. When performed in series, physical examination maneuvers are diagnostic. Confirmatory image-guided injections can aid the diagnosis. In randomized clinical trials, surgical treatment in appropriately selected patients has been demonstrated to be statistically and clinically superior to nonsurgical management.

摘要

骶髂关节活动度为2.5°。它由伤害性纤维支配。它是下腰痛的常见原因(15%-30%)。会出现退行性改变,尤其是在腰骶融合术后。当连续进行时,体格检查手法具有诊断意义。影像引导下的确诊性注射有助于诊断。在随机临床试验中,已证明对适当选择的患者进行手术治疗在统计学和临床上优于非手术治疗。

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