Ultrasound Versus Fluoroscopic Guided Sacroiliac Joint Injection In Patients With Chronic Sacroiliac Joint Pain

Minia University

Status: Completed

Conditions: Sacro-Iliac Spondylosis

Treatments: Device: Sacroiliac joint injection

Study type: Interventional

Funder types: Other

Identifiers

NCT04446988

14102019

Details and patient eligibility

About

Sacroiliac joint injection in sacroiliitis

Full description

Comparison of ultrasound guided and fluoroscopic guided sacroiliac joint injection

Enrollment: 40 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Clinical diagnosis of sacroiliitis.
• At least 3 positive physical examination maneuvers [FABER (flexion, abduction, and external rotation), POSH (posterior shear), REAB (resisted abduction), Fortin's finger test],
• Moderate to severe pain (NRS pain score ≥ 3/10) refractory to oral anti-inflammatory.
• Age from 18ys to 60ys.

Exclusion criteria

• Ages less than 18 or more than 85 years.
• Body Mass Index (BMI) above 35 kg/m2.
• A diagnosis of severe anxiety or depression and other psychological disorders.
• Allergy to local anesthetics or steroids and pregnancy.
• Multiple comorbidities (renal , hepatic, cardiac).
• Coagulation disorder as bleeding tendency and platelet dysfunction.
• Contraindication for prone position or radiological exposure.
• Patient refuse .
• Pain suggestive of bilateral sacroiliac joint involvement (it would have been difficult to assess pain and disability secondary to each SIJ).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Ultrasound(US)

Experimental group

Description:

Sacroiliac joint injection using ultrasound

Treatment:

Device: Sacroiliac joint injection

Fluoroscopy(FL)

Experimental group

Description:

Sacroiliac joint injection using fluoroscopy

Treatment:

Device: Sacroiliac joint injection