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Date Published: 26/08/2022
Abstract Views: 166
Views PDF: 194
DOI: https://doi.org/10.51298/vmj.v517i2.3219
Issue
Vol. 517 No. 2 (2022)
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Các bài báo
How to Cite
Huy Hùng, T. ., Gia Khánh, Đinh ., & Thị Thanh Vân, B. (2022). INTRA-ARTICULAR SACROILIAC JOINT INJECTION UNDER COMPUTED TOMOGRAPHY GUIDANCE: INITIAL OUTCOMES. Vietnam Medical Journal, 517(2). https://doi.org/10.51298/vmj.v517i2.3219

INTRA-ARTICULAR SACROILIAC JOINT INJECTION UNDER COMPUTED TOMOGRAPHY GUIDANCE: INITIAL OUTCOMES

Trần Huy Hùng1,, Đinh Gia Khánh1, Bùi Thị Thanh Vân1
1 108 Military Central Hospital

Main Article Content

Abstract

Purpose: Sacroiliac joint injections (SJI) under Computed Tomography guidance for treatment of sacroiliac joint pain. Subject and method: Prospective research on 28 patients who received SJI under Computed Tomography guidance from 6/2021 to 6/2022 at 108 Military Central Hospital. Results: The majority of sacroiliac joint pain patients are female (89.2%), mostly on one side, with middle-aged patients making up 78.5%. Discomfort is most often recorded in the hips (100%), crotch (32%), and thighs (25%). Nine out of 28 cases (32%) discovered sacroiliac joint pain after lumbar fusion. VAS post-injection is 3.25±1.1. VAS, ODI post-injection show clear improvement with p<0.05. The average X-ray radiation dose is 1.1 mSv. The average time for technical execution on 1 side is 7.24 minutes, and 2 sides is 10.5 minutes. Conclusion: SJI under Computed Tomography guidance has apparent pain-relieving effects, short technical execution time, high precision, low x-ray radiation, and improves patients’ quality of life.

Article Details

Keywords

Saccroiliac joint, saccroiliac joint injection

References

1. Kyung Hee Do, et al, "A New Sacroiliac Joint Injection Technique," Pain Medicine, p. 1–5, 2016.
2. D. W. P. Jr, "The Sacroiliac Joint," Neurosurg Clin N Am, vol. 28, pp. 301-312, 2017.
3. Chin K R, Pencle F J, Seale J A, et al., "CT Scan and Clinical Outcomes of Novel Lateral-Oblique Percutaneous Sacroiliac Joint (SIJ) Fixation: Technique and Literature Review," Cureus, vol. 13, no. 7, pp. 1-7, 2021.
4. N. C. Paik, "Intraarticular Sacroiliac Joint Injection Under Computed Tomography Fluoroscopic Guidance: A Technical Note to Reduce Procedural Time and Radiation Dose," Cardiovasc Intervent Radiol, vol. 39, p. 1057–1060, 2016.
5. Jean-Charles L.H., et al, "A painful unknown: sacroiliac joint diagnosis," EFORT Open Rev, vol. 5, pp. 691-698., 2020.
6. Ahmed A. A. Bessar, et al, "Computed tomography versus fluoroscopic guided sacroiliac joint injection: a prospective comparative study," Insights Imaging, vol. 12, no. 38, pp. 1-8, 2021.
7. Yuanyuan Ding. et al, "Clinical observation of CT-guided intra-articular conventional radiofrequency and pulsed radiofrequency in the treatment of chronic sacroiliac joint pain," Journal of Pain Research, vol. 11, pp. 2359-2366, 2018.