Chaudhari Deepesh Laxman, Pradeep E, Kumar K V Arun, Mohideen Sheik, Nagasamy Silambarasi, Kumar Manoj
Department of Orthopaedics, Chettinad Hospital and Research Institute, Chettinad Academy of Research And Education , Kelambakkam-603103, Tamil Nadu, India.
J Orthop Case Rep. 2025 May;15(5):285-290. doi: 10.13107/jocr.2025.v15.i05.5636.
Dysfunction of the sacroiliac joint is a frequently overlooked etiology for lumbosacral and gluteal pain. This study compares the efficacy of fluoroscopy-guided sacroiliac joint (SIJ) blocks versus conservative management in patients with sacroiliitis.
A prospective cohort study was done involving 88 patients diagnosed with sacroiliitis. Group I (n = 48) received conservative management, while Group II (n = 40) underwent fluoroscopy-guided SIJ blocks. Outcomes were assessed using Visual Analog Scale (VAS), Oswestry Disability Index (ODI), and EuroQol 5-Dimension 5-Level (EQ-5D-5L) questionnaire at baseline and 6 months.
Significant progress was observed in both groups, but Group II demonstrated superior outcomes. The mean VAS reduction was greater in Group II (5.3 points) compared to Group I (3.1 points). Similarly, functional improvement measured by ODI was higher in Group II (55%) than Group I (39.9%). The EQ-5D-5L index value increased more substantially in Group II (0.42-0.79) than in Group I (0.41-0.67), with statistically significant differences between groups (P = 4.51 × 10-).
Fluoroscopy-guided SIJ blocks provide significantly better pain relief, functional improvement, and life quality enhancement as compared to conservative management in patients diagnosed with sacroiliitis. This intervention should be considered for patients with inadequate response to conservative treatment.
骶髂关节功能障碍是导致腰骶部和臀部疼痛的一个常被忽视的病因。本研究比较了荧光透视引导下骶髂关节阻滞与保守治疗对骶髂关节炎患者的疗效。
进行了一项前瞻性队列研究，纳入88例诊断为骶髂关节炎的患者。第一组（n = 48）接受保守治疗，而第二组（n = 40）接受荧光透视引导下的骶髂关节阻滞。在基线和6个月时使用视觉模拟量表（VAS）、Oswestry功能障碍指数（ODI）和欧洲五维健康量表（EQ-5D-5L）问卷评估结果。
两组均观察到显著进展，但第二组显示出更好的结果。第二组的平均VAS降低幅度（5.3分）大于第一组（3.1分）。同样，用ODI衡量的功能改善在第二组（55%）高于第一组（39.9%）。第二组的EQ-5D-5L指数值增加幅度（0.42 - 0.79）大于第一组（0.41 - 0.67），两组间差异有统计学意义（P = 4.51×10⁻）。
与保守治疗相比，荧光透视引导下的骶髂关节阻滞在诊断为骶髂关节炎的患者中能提供显著更好的疼痛缓解、功能改善和生活质量提高。对于保守治疗反应不佳的患者应考虑这种干预措施。
