Sacro-Iliac Spondylosis
Conditions
Keywords
Sacroiliac
Brief summary
Sacroiliac joint injection in sacroiliitis
Detailed description
Comparison of ultrasound guided and fluoroscopic guided sacroiliac joint injection
Interventions
Injection of sacroiliac joint with local anesthetic and steroid
Sponsors
Minia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Sacroiliac joint injection with local anesthetic and steroid using ultrasound Versus fluoroscopy in sacroiliitis
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of sacroiliitis. * At least 3 positive physical examination maneuvers \[FABER (flexion, abduction, and external rotation), POSH (posterior shear), REAB (resisted abduction), Fortin's finger test\], * Moderate to severe pain (NRS pain score ≥ 3/10) refractory to oral anti-inflammatory. * Age from 18ys to 60ys.
Exclusion criteria
* Ages less than 18 or more than 85 years. * Body Mass Index (BMI) above 35 kg/m2. * A diagnosis of severe anxiety or depression and other psychological disorders. * Allergy to local anesthetics or steroids and pregnancy. * Multiple comorbidities (renal , hepatic, cardiac). * Coagulation disorder as bleeding tendency and platelet dysfunction. * Contraindication for prone position or radiological exposure. * Patient refuse . * Pain suggestive of bilateral sacroiliac joint involvement (it would have been difficult to assess pain and disability secondary to each SIJ).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Rating Scale (NRS) pain scores | 3 months | It measures pain intensity (0 no pain - 10 worst pain imaginable) |
| Oswestry disability index score | 1 month | It evaluates the physical function (0% minimal disability - 100% bed - bound patient) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Analgesic requirement | 1 month | It shows if the patient needs analgesic or not compared to pretreatment (type and dose in mg) |
| Patient satisfaction ( global perceived effect on a 7-point scale (GPE) ) | 3 months | It shows if the patient satisfied with the procedure or not (1= worst ever - 7= best ever) |
| Procedure time | Procedure | It measures the seconds of procedure in both groups |
Countries
Egypt
Outcome results
None listed