Aranke Mayank, McCrudy Grace, Rooney Kelsey, Patel Kunaal, Lee Christopher A, Hasoon Jamal, Kaye Alan D
Department of Anesthesiology, University of Texas Health Science Center.
LSU Health Sciences Center Shreveport School of Medicine.
Orthop Rev (Pavia). 2022 May 31;14(4):34098. doi: 10.52965/001c.34098. eCollection 2022.
Sacroiliac joint (SIJ) pain is responsible for approximately 15-25% of reported back pain. Patients with SIJ pain report some of the lowest quality of life scores of any chronic disease. Understanding of the physiology and pathology of the SI joint has changed dramatically over the years, and SI joint pain and injury can now be thought of in two broad categories: traumatic and atraumatic. Both categories of SI joint injury are thought to be caused by inflammation or injury of the joint capsule, ligaments, or subchondral bone in the SI joint. Treatment of SI joint pain usually involves a multi-pronged approach, utilizing both, multi-modal medical pain control and interventional pain/surgical techniques such as steroid injections, radiofrequency nerve ablation, and minimally invasive sacroiliac arthrodesis. Though conservative management through multi-modal pain control and physical therapy have their role as first line therapies, an increasing body of evidence supports the use of minimally invasive procedures, both as adjuvant treatments to conservative management and as second line therapies for patient's that fail first line treatment.
骶髂关节（SIJ）疼痛约占报告的背痛病例的15%-25%。骶髂关节疼痛患者的生活质量得分在所有慢性病中处于较低水平。多年来，人们对骶髂关节的生理和病理的理解发生了巨大变化，现在骶髂关节疼痛和损伤可大致分为两类：创伤性和非创伤性。这两类骶髂关节损伤都被认为是由骶髂关节的关节囊、韧带或软骨下骨的炎症或损伤引起的。骶髂关节疼痛的治疗通常采用多管齐下的方法，包括多模式医学疼痛控制和介入性疼痛/手术技术，如类固醇注射、射频神经消融和微创骶髂关节融合术。尽管通过多模式疼痛控制和物理治疗进行保守管理作为一线治疗方法有其作用，但越来越多的证据支持使用微创程序，既作为保守管理的辅助治疗，也作为一线治疗失败患者的二线治疗方法。
