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Research Paper | Anaesthesiology | Mexico | Volume 13 Issue 4, April 2024 | Rating: 5.6 / 10
Ultrasound - Guided Sacral Parahiatal Approach as a New Technique for Diagnosis and Treatment of Dysfunctional Sacroiliac Joint
Francisco Javier Machuca Vigil | Rafael Orlando Vallejo Estrella | Roberto Jameson Rosales | Francesca Dolciami | Stephanie Gabriela Romero
Abstract: Sacroiliac joint dysfunction is estimated to be the cause of 15 to 30% of low back pain, which can be disabling and whose origin can be degenerative, inflammatory, osteoarthritis, traumatic injury, or pregnancy. The aim of the study is to demonstrate an ultrasound - guided sacral parahiatal approach as a new technique for the diagnosis and treatment of sacroiliac joint dysfunction, as well as its efficacy in terms of post - procedure pain control. A total of 87 patients with suspected sacroiliac joint dysfunction were treated, of which 63 were female (72.4%) and 24 male (27.6%). By age range within the female sex, the following patients were attended: 16 (20 to 39 years), 30 (40 to 59 years), 13 (60 to 79 years), and 4 (80 to 99 years). Among the male sex, the following patients were treated: 6 (20 to 39 years old), 9 (40 to 59 years old), 9 (60 to 79 years old). All patients were injected with an ultrasound - guided sacral parahiatal approach under local anesthesia with a mixture of 3 mL of 0.5% bupivacaine, plus 2 mL (80 mg) of methylprednisolone acetate, plus 3 mL of sterile water for injection. Of the 87 patients in total, 9 had 50 to 74% pain relief, 32 had 75 to 89% pain relief, and 46 had 90 to 99% pain relief. The ultrasound - guided sacral parahiatal approach technique, seems to be an affordable, simple, safe, reproducible, and effective alternative for the diagnosis and treatment of sacroiliac joint dysfunction and, although promising, more studies are needed to objectively demonstrate its feasibility in the clinical field.
Keywords: low back pain, sacroiliac joint, ultrasound guided injection, sacral parahiatal approach
Edition: Volume 13 Issue 4, April 2024,
Pages: 1482 - 1486