Document Detail


Viscosupplementation: a new concept in the treatment of sacroiliac joint syndrome: a preliminary report of four cases.
MedLine Citation:
PMID:  9952100     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVES: We describe a new therapeutic modality for sacroiliac joint syndrome that represents an alternative to other treatment modalities. We report on four cases of sacroiliac joint syndrome with severe pain. METHODS: Three patients had undergone operative treatment of the lumbar spine and one patient suffered from severe osteoarthritis of the spine. All patients were diagnosed with sacroiliac joint syndrome by means of patient history, physical examination, and intra-articular local anesthetic injection preceded by sacroiliac arthrogram. All patients received three injections of Hylan GF 20 in the sacroiliac joints 2 weeks apart. RESULTS: Twelve to 16 weeks after the injections, the pain was reported to be 40-67% better when measured on the visual analog scale. The duration of the beneficial effect of Hylan on arthralgia and joint function was undetermined. CONCLUSIONS: Viscosupplementation of the sacroiliac joint induced a significant degree of analgesia in all four patients. This treatment modality could represent an option in the management of sacroiliac joint pain and dysfunction.
Authors:
U Srejic; O Calvillo; K Kabakibou
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Regional anesthesia and pain medicine     Volume:  24     ISSN:  1098-7339     ISO Abbreviation:  Reg Anesth Pain Med     Publication Date:    1999 Jan-Feb
Date Detail:
Created Date:  1999-04-15     Completed Date:  1999-04-15     Revised Date:  2008-02-01    
Medline Journal Info:
Nlm Unique ID:  9804508     Medline TA:  Reg Anesth Pain Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  84-8     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Center for Pain Medicine, Baylor College of Medicine, Houston, Texas, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Hyaluronic Acid / administration & dosage,  analogs & derivatives*,  therapeutic use
Injections, Intra-Articular
Low Back Pain / drug therapy,  etiology*
Male
Middle Aged
Osteoarthritis / complications
Sacroiliac Joint*
Syndrome
Viscosity
Chemical
Reg. No./Substance:
9004-61-9/Hyaluronic Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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