| The therapeutic efficacy of sacroiliac joint blocks with triamcinolone acetonide in the treatment of sacroiliac joint dysfunction without spondyloarthropathy. | |
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MedLine Citation:
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PMID: 19531998 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY DESIGN: Prospective case series. OBJECTIVE: The study aimed to investigate the therapeutic efficacy of sacroiliac joint (SIJ) blocks with triamcinolone acetonide in patients with SIJ pain without spondyloarthropathy. SUMMARY OF BACKGROUND DATA: Numerous studies have demonstrated that SIJ blocks with corticosteroid/anesthetic provide long-term pain relief in seronegative spondyloarthropathy. However, only one report on SIJ dysfunction patients without spondyloarthropathy shows promising results. METHODS: We conducted a prospective observational study of patients at a University Spine Center from March 2005 to May 2006. The above mentioned SIJ blocks were performed in 150 patients, and dual SIJ blocks confirmed SIJ pain in 39 patients (26%). RESULTS: Twenty-six patients (66.7%) experienced significant pain reduction for more than 6 weeks; the overall mean duration of pain reduction in these responders was 36.8 +/- 9.9 weeks. SIJ blocks were ineffective in 13 patients (33.3%); the mean duration of pain reduction in these patients was 4.4 +/- 1.8 weeks. Univariate analysis revealed that treatment failure was significantly associated with a history of lumbar/lumbosacral fusion (P = 0.03). CONCLUSION: SIJ blocks with triamcinolone acetonide are beneficial for some patients with SIJ pain without spondyloarthropathy. The SIJ blocks showed a long-lasting efficacy in two-thirds of the patients; however, the duration of its efficacy was shorter in patients with a history of lumbar/lumbosacral fusion. These findings suggest the need for further studies. |
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Authors:
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Po-Chou Liliang; Kang Lu; Hui-Ching Weng; Cheng-Loong Liang; Yu-Duan Tsai; Han-Jung Chen |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: Spine Volume: 34 ISSN: 1528-1159 ISO Abbreviation: Spine Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-06-17 Completed Date: 2009-09-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: United States |
Other Details:
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Languages: eng Pagination: 896-900 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan. ed100172@edah.org.tw |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Anti-Inflammatory Agents / administration & dosage, therapeutic use Arthralgia / drug therapy*, physiopathology Female Follow-Up Studies Humans Injections, Intra-Articular Male Middle Aged Prospective Studies Questionnaires Sacroiliac Joint / drug effects*, physiopathology Spondylarthropathies / pathology, physiopathology Treatment Outcome Triamcinolone Acetonide / administration & dosage, therapeutic use* |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents; 76-25-5/Triamcinolone Acetonide |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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