Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Assessment of the Efficiency of Intra-Articular Corticosteroid and Local Anesthetic Injection in Patients with Sacroiliac Joint Dysfunction: 3-Year Treatment Outcomes: A Retrospective Study
Sakroiliyak Eklem Disfonksiyonu Olan Hastalarda Eklem İçi Kortikosteroid ve Lokal Anestezik Enjeksiyon Etkinliğinin Değerlendirilmesi: 3 Yıllık Deneyimimiz: Retrospektif Çalışma
Derya BAYRAMa, Dostali ALİYEVa, Güngör Enver ÖZGENCİLa
aDepartment of Pain Medicine, Ankara University Faculty of Medicine, Ankara, TURKEY
Turkiye Klinikleri J Med Sci. 2021;41(4):370-6
doi: 10.5336/medsci.2021-85379
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of the study is to evaluate the therapeutic effiency of fluoroscopy-guided intra-articular corticosteroid and local anesthetic injections into the sacroiliac joint (SIJ) in patients with SIJ dysfunction. Material and Methods: Two hundred patients, who applied to Ankara University Faculty of Medicine, Pain Medicine outpatient clinic and diagnosed with SIJ dysfunction between January 2017 and January 2020, and were performed fluoroscopy-guided intra-articular corticosteroid and local anesthetic injection in the operating room, were included in the study. We evaluated the visual analog scale (VAS) and Oswestry Disability Index (ODI) scores of the patients before and after SIJ injection at (at 1st hour only for VAS) 1st, 3rd and 6th month. Results: The current study with 200 patients, retrospectively found a significant decrease in VAS and ODI scores after local anesthetic and corticosteroid injection into the SIJ. VAS and ODI scores at 1st, 3rd and 6th month after injection were significantly lower than before injection. Patients' VAS scores also showed a significant decrease one hour after the injection. Gluteal region was the most described localization of pain by patients. Conclusion: Fluoroscopy-guided intra-articular corticosteroid and local anesthetic injection appears to be an effective method on sacroiliac joint pain and disability at least six-month follow-up.

Keywords: Fluoroscopy; sacroiliac joint; injection; intra-articular; steroids
ÖZET
 Amaç: Bu çalışmanın amacı, sakroiliyak eklem (SİE) disfonksiyonu olan hastalarda SİE içine floroskopi eşliğinde intraartiküler kortikosteroid ve lokal anestezik enjeksiyonlarının terapötik etkinliğini değerlendirmektir. Gereç ve Yöntemler: Ocak 2017-Ocak 2020 tarihleri arasında Ankara Üniversitesi Tıp Fakültesi Algoloji polikliniğine başvuran ve SİE disfonksiyon tanısı ile ameliyathanede floroskopi eşliğinde eklem içi kortikosteroid ve lokal anestezik enjeksiyonu yapılan 200 hasta çalışmaya dâhil edildi. Hastaların SİE enjeksiyon öncesi ve sonrası [sadece vizüel analog skala (VAS) için 1. saatte] 1, 3 ve 6. aydaki VAS ve Oswestry Dizabilite İndeksi (ODİ) skorlarını değerlendirdik. Bulgular: İki yüz hasta ile yapılan mevcut çalışma, retrospektif olarak, SİE'ye lokal anestezik ve kortikosteroid enjeksiyonundan sonra VAS ve ODİ skorlarında anlamlı bir düşüş buldu. Enjeksiyondan sonraki 1, 3 ve 6. aydaki VAS ve ODI skorları, enjeksiyon öncesine göre önemli ölçüde düşüktü. Hastaların işlemden 1 saat sonraki VAS skorları da anlamlı düşüş gösterdi. Hastalar tarafından ağrının en çok tarif edilen lokalizasyonu gluteal bölge idi. Sonuç: En az 6 aylık izlemde floroskopi eşliğinde intraartiküler kortikosteroid ve lokal anestezik enjeksiyonu, SİE ağrısı ve dizabilite üzerine etkili bir yöntem olarak görünmektedir.

Anahtar Kelimeler: Floroskopi; sakroiliak eklem; enjeksiyon; intraartiküler; steroidler
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