A comparative study between the clinical effect of Ultrasound versus Fluoroscopy guided Sacroiliac Joint injection in Spondyloarthropathy.

R G Kar Medical College and Hospital0 个研究点目标入组 0 人开始时间: 待定最近更新: 2021年11月24日

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•1. Diagnosed case of seronegative Spondyloarthropathy by ASAS criteria.
•2. Pain primarily experienced between the upper level of the iliac crests and the gluteal fold.
•3. Active sacroilitis clinically (positive finding of at least 3 of 6 following tests for SIJ pain)
•i. Distraction or â??Gappingâ??
•ii. FABER/Patrickâ??s Test
•iii. Thigh Thrust or Posterior Pelvic Pain Provocational Test
•iv. Gaenslenâ??s Test
•v. Sacroiliac Joint Compression Test
•vi. Sacral Thrust or Yeomanâ??s Test.
•4. Poorly controlled by conservative treatment for 1 month by means of both pharmacological and non-pharmacological therapy.
•5. Age between 18-45 years.
•6. Oswestry disability index > 40%
•7. NRS (0-10) > 5.
•8. Reduction of pain intensity by > 75% following a diagnostic injection.
•9. Unilateral sacroilitis.

•1. Severe peripheral arthritis with hip involvement.
•2. Clinical findings and imaging studies suggest other obvious cause of the pain (e.g., central spinal stenosis with neurogenic claudication/myelopathy, foraminal stenosis or disc herniation with concordant radicular pain/radiculopathy, pyriformis syndrome, infection, tumour, fracture, pain related to spinal instrumentation).
•3. Degenerative sacroiliac joint or complete ankylosis of sacroiliac joint (Grade IV).
•4. Patient assume prone lying position to be difficult.
•5. Allergy to lignocaine, contrast dye.
•6. Presence of coagulation disorder or receiving anti-coagulant therapy.
•7. With other systemic disorders or active infection or other contraindications for corticosteroid injection.
•8. Unwilling patient.
•9. Patient unable to come to hospital for subsequent visits for follow-up.
•10. Has current skin disease over the injection site.
•11. Has psychiatric disorder.
•12. H/o prior injection in SIJ within 2 months.

发起方

R G Kar Medical College and Hospital