Article
Orthopedics
Joseph Maalouly, Prashanth J. Rao
Summary: Recent evidence suggests that cooled radiofrequency ablation of sacral nerves supplying the SI joints has superior pain alleviating properties than currently available treatment options for SI joint dysfunction.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Medicine, General & Internal
Chun Tseng, Kuo-Tai Chen, Yi-Chin Fong, Chung-Wei Lin, Li-Wei Sun, Chien-Min Chen, Guan-Chyuan Wang
Summary: This study used biportal endoscopic radiofrequency ablation (BERA) to treat patients with low back pain. The advantage of BERA is its ability to directly identify and ablate the innervating nerve to the joint, allowing for a more expanded working angle compared to traditional single-port endoscopy. The study showed clinically relevant improvements in both visual analog scale and Oswestry Disability Index scores at 1-, 6-, and 12-month follow-up time points after surgery, with an overall patient satisfaction score of 89.1%.
Article
Anesthesiology
Ligia F. T. Kawamoto, Rioko K. Sakata, Jose L. Campos, Luis A. Borges, Leonardo H. C. Ferraro
Summary: The study found that all three types of RF provided significant pain relief for patients undergoing denervation of the sacroiliac joint, with high rates of pain relief maintenance for up to 6 months of follow-up. However, limitations such as the low numbers of pulsed and cooled RF treatments as well as potential data missing in the retrospective study should be noted.
Article
Rehabilitation
Taylor Robert Burnham, Ashley Smith, Zachary L. McCormick, Masaru Teramoto, Robert Burnham
Summary: This study evaluated the effectiveness and procedural characteristics of a novel ultrasound/fluoroscopically guided technique (longitudinal axis sacroiliac joint radiofrequency ablation) for sacroiliac joint denervation. The results demonstrated improvements in pain, disability, and quality of life with the longitudinal axis sacroiliac joint radiofrequency ablation technique. Compared to the palisade technique, the longitudinal axis sacroiliac joint radiofrequency ablation required longer procedure time but shorter fluoroscopy time.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2022)
Review
Anesthesiology
Rajesh Naidu Janapala, Emilija Knezevic, Nebojsa Nick Knezevic, Rachana Pasupuleti, Mahendra R. Sanapati, Alan D. Kaye, Vidyasagar Pampati, Laxmaiah Manchikanti
Summary: The present systematic review and meta-analysis provide evidence that intraarticular injections in the sacroiliac joint are a fair therapeutic option for managing low back pain of sacroiliac joint origin. However, further studies are needed to confirm these findings and address the limitations identified.
Article
Medicine, Research & Experimental
Jordan Sam, Mila Pastrak, Larysa Duda, Nikola Vladicic, Bruce Vrooman, Frederick Ma, Farhan Khandwalla, Alaa Abd-ElSayed, Michael Catapano, Scott McGilvray, James S. Khan, Ognjen Visnjevac
Summary: This review examined the outcomes of patients with SIJ-related pain who underwent combined sensory nerve branch RFA and DREZC PRF lesions targeting the SIJ complex. Approximately 85% of cases were successfully treated with long-lasting analgesic effects and minimal complications.
ADVANCES IN THERAPY
(2022)
Review
Clinical Neurology
Aazad Abbas, Jin Tong Du, Jay Toor, Anne Versteeg, Joel A. Finkelstein
Summary: This systematic review suggests that primary sacroiliac joint fusion (SIJF) shows potential as a surgical treatment option for sacroiliac (SI) joint pathology, although the overall quality of evidence analyzed was low.
EUROPEAN SPINE JOURNAL
(2022)
Review
Medicine, General & Internal
Christopher S. Han, Mark J. Hancock, Sweekriti Sharma, Saurab Sharma, Ian A. Harris, Steven P. Cohen, John Magnussen, Chris G. Maher, Adrian C. Traeger
Summary: This article is a systematic review of diagnostic tests for identifying the source of low back pain. The findings suggest that there are informative tests for the disc, sacroiliac joint, and facet joint, which can guide targeted treatment approaches.
Review
Anesthesiology
Aaron J. Yang, Graham Wagner, Taylor Burnham, Zachary L. McCormick, Byron J. Schneider
Summary: Radiofrequency ablation can alleviate pain in the posterior sacroiliac joint complex, but research is limited by variations in selection criteria, nerves targeted, and technology used for radiofrequency ablation.
Review
Clinical Neurology
Eva Chang, Caroline Rains, Rania Ali, Roberta C. Wines, Leila C. Kahwati
Summary: Minimally invasive SI joint fusion using the iFuse Implant System showed greater improvements in pain and physical function compared to conservative management at 6 months, with similar findings at 1- and 2-year follow-ups. Adverse events were higher in the fusion group, with a revision surgery incidence up to 3.8% at 2 years. Limited evidence is available for comparing different minimally invasive devices.
Article
Rehabilitation
Donald Gusfa, Daniyal A. Bashir, Mathew R. Saffarian
Summary: Sacroiliac joint pain is often caused by anatomic disruption within the joint, making diagnosis challenging. Provocation tests and image-guided injections are effective tools for accurate diagnosis and treatment.
AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
(2021)
Article
Anesthesiology
Andrew C. Young, Hao Deng, Arissa Opalacz, Sarah Roth, Evgenia Jen Filatava, Corrie A. Fisher, Karina de Sousa, Grace Mogren, Lucy Chen
Summary: This study compares the efficacy of intraarticular steroid injections and lateral branch radiofrequency neurotomy for the treatment of sacroiliac joint pain. The results show that both interventions provide significant pain relief, with lateral branch radiofrequency neurotomy offering a longer duration of relief compared to intraarticular steroid injections.
Review
Clinical Neurology
Mila Pastrak, Nikola Vladicic, Jordan Sam, Bruce Vrooman, Frederick Ma, Ammar Mahmoud, James S. Khan, Alaa Abd-Elsayed, Farhan Khandwalla, Scott McGilvray, Ognjen Visnjevac
Summary: Radiofrequency ablation is a safe and effective treatment option for sacroiliac joint pain, offering accessibility to primary care physicians, reducing office visits for pain complaints, and serving as a non-opioid means of analgesia.
CURRENT PAIN AND HEADACHE REPORTS
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Ahmed A. A. Bessar, Mohamed M. Arnaout, Mohammad Abd Alkhalik Basha, Shady E. Shaker, Ashraf E. Elsayed, Manar Awad Bessar
Summary: The study compared CT and fluoroscopic-guided sacroiliac joint injections in terms of pain relief, radiation doses, and patient satisfaction, with CT guidance showing favorable outcomes in long-term pain relief.
INSIGHTS INTO IMAGING
(2021)
Article
Orthopedics
Sem M. M. Hermans, Rob J. H. Knoef, Valerie N. E. Schuermans, Martijn G. M. Schotanus, Jorm M. Nellensteijn, Henk van Santbrink, Inez Curfs, Wouter L. W. van Hemert
Summary: This study evaluated the clinical results and safety of minimally invasive sacroiliac joint fusion (MISJF) as a treatment option for sacroiliac joint dysfunction. The findings showed that MISJF was effective and safe, with significant improvements in pain and quality of life observed one year postoperatively.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)