Abstract | OBJECTIVE: To determine the long-term response to serial sacroiliac joint (SIJ) corticosteroid injections. Design. Retrospective practice audit. SETTING AND PATIENTS: Tertiary care spine center. Review of charts of all patients in a single practice who underwent diagnostic and therapeutic fluoroscopically guided SIJ injections with combined local anesthetic, long-acting corticosteroid, and contrast. MEASURES: Response was evaluated at 1 hour and again at follow-up clinic visits. Response to injection was graded as positive if there was > or =50% relief of the targeted pain during the local anesthetic phase and at least 2 weeks of > or =50% relief afterward. If pain recurred, patients had to have been sufficiently satisfied with the relief to request repeat injection. RESULTS: There were 164 patients; 5 had incomplete records, 4 had <2 year follow-up. Of the 155 patients, 120 (77%) were positive responders; 45 were men and 75 were women; and the mean age was 48 (27-91) years. Sixty-nine had prior lumbar surgery. Mean duration of follow-up was 44 months (26-101). Two were lost to follow-up. The 118 positive responders received a mean of 2.7 injections per patient. Forty patients required 1 injection only, 29 required two, 22 required three, and 27 required four or more. The mean duration of response for those receiving >1 injection was 9.3 months per injection (1-58). There were no adverse events. CONCLUSIONS:
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Authors | James Hawkins, Jerome Schofferman |
Journal | Pain medicine (Malden, Mass.)
(Pain Med)
2009 Jul-Aug
Vol. 10
Issue 5
Pg. 850-3
ISSN: 1526-4637 [Electronic] England |
PMID | 19594847
(Publication Type: Journal Article)
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Chemical References |
- Adrenal Cortex Hormones
- Anesthetics, Local
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Topics |
- Adrenal Cortex Hormones
(administration & dosage, therapeutic use)
- Adult
- Anesthetics, Local
(administration & dosage, therapeutic use)
- Female
- Fluoroscopy
- Follow-Up Studies
- Humans
- Injections
- Low Back Pain
(drug therapy)
- Male
- Middle Aged
- Pain Measurement
(drug effects)
- Retrospective Studies
- Sacroiliac Joint
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