Fluoroscopic vs Ultrasound Guided Sacroiliac (SI) Joint Injection

Diskapi Teaching and Research Hospital60 enrolled

Overview

The investigators aimed to evaluate the effectiveness of intra-articular sacroiliac joint injection under fluoroscopy versus ultrasound guidance

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Pain, Chronic

Interventions

Ultrasound-guided sacroiliac joint injectionPROCEDURE

Using ultrasound the sacral hiatus in transverse position was identified. Then, sliding laterally and cephalad in transverse position, the posterior superior iliac spine and the posterior sacroiliac joint were identified. The needle was advanced toward the posterior joint space from medial to lateral, using an in-plane technique.

Flouroscopy-guided sacroiliac joint injectionPROCEDURE

Using anterior posterior and contralateral oblique view the posterior joint line and inferior joint margin were identified and a needle was advanced at the point the posterior inferior joint line was most clearly seen.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Low back and/or gluteal pain without radicular extension for more than 3 months * Tenderness over the SI joint * Pain score \> 3 by Visual Analogue Scale Exclusion Criteria: * Malignancy * Generalized or local infection * Coagulopathy * Allergy to drugs to be injected

Locations (1)

Diskapi Yildirim Beyazit Training and Research Hospital

Ankara, Turkey (Türkiye)

Outcomes

Primary Outcomes

Reduction in pain

Pain assessment will be performed using the Visual Analogue Scale (VAS) score (0 = no pain, 10 = the most severe pain felt).

Time frame: Change from baseline pain score at 3 months

Secondary Outcomes

Oswestry Disability Index (ODI)

Mean Change from Baseline in functional disability scores based on Oswestry Disability Index. 0% to 20% indicate minimal disability, 21% to 40% indicate moderate disability, 41%-60% indicates severe disability, 61%-80% means crippled and 81%-100% indicates that the patient is either bed-bound or exaggerating his/her symptoms.

Time frame: Baseline to 3 months post-procedure

Patient satisfaction Questionnaire

Satisfaction was measured on a 1 to 5 scale,Using score: 5-Excellent, 4-Very Good, 3-Good, 2-Fair, and 1-Poor

Time frame: baseline to 3 months post-procedure

Quantitative analgesic questionnaire

A tool designed to record patient-reported pain medication use, create scores to quantify and compare it and track changes in analgesic drug use over time. A higher score indicates higher pain medication use

Time frame: at 3 months post-procedure

Procedure time

Procedure time was measured using a stopwatch. It was defined as the time from the start of the procedure, the initial image was obtained or first probe placement, until the end of the procedure defined as;transforaminal needle placement was seen clearly.

Time frame: Intraoperative

Data from ClinicalTrials.gov

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