Evaluation and Treatment of Sacroiliac Joint Pain in Patients with History of Vertebral Compression Fractures: A Retrospective Case Series.

IF 2.6 2区医学 Q2 ANESTHESIOLOGY

Pain physician Pub Date : 2024-03-01

Ibrahim M Umer, Christopher Gharibo, Sudhir Diwan, Steve M Aydin

{"title":"Evaluation and Treatment of Sacroiliac Joint Pain in Patients with History of Vertebral Compression Fractures: A Retrospective Case Series.","authors":"Ibrahim M Umer, Christopher Gharibo, Sudhir Diwan, Steve M Aydin","doi":"","DOIUrl":null,"url":null,"abstract":"Background: Vertebral compression fractures (VCFs) can affect the entire spinopelvic complex and cause unpredictable patterns of back pain due to their effects on spinal tensegrity and biomechanical compensation. They can lead to significant morbidity and mortality in the aging population and are difficult to diagnose. We aimed to establish a relationship between VCFs and sacroiliac (SI) joint pain.Objectives: Demonstration of SI joint (SIJ) pain relief at up to 6 months after kyphoplasty (KP) in patients with VCFs and diagnosed SI dysfunction.Study design: Retrospective study.Setting: All patients were from a private chronic pain and orthopedics practice in the northeastern United States.Methods: Fifty-one patients with VCFs diagnosed through imaging and SIJ dysfunction diagnosed through 2 diagnostic SIJ blocks who had failed conservative management were considered for KP. Numeric Rating Scale (NRS 11) scores were recorded at the baseline, after each SIJ block, and at 4 weeks and then 6 months after KP.Results: Forty-nine patients underwent KP. At 4 weeks after the procedure, there was an 84% average reduction in NRS scores from the baseline (P < 0.01). At 6 months after the procedure, there was an 80% reduction in NRS scores from the baseline (P < 0.01).Limitations: Larger sample sizes and a randomized control trial would be important steps in furthering the relationship between VCFs and SIJ.Conclusion: VCFs can cause a referred pain pattern to the SIJ that is best treated by KP for long-term management.","PeriodicalId":19841,"journal":{"name":"Pain physician","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain physician","FirstCategoryId":"3","ListUrlMain":"","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Vertebral compression fractures (VCFs) can affect the entire spinopelvic complex and cause unpredictable patterns of back pain due to their effects on spinal tensegrity and biomechanical compensation. They can lead to significant morbidity and mortality in the aging population and are difficult to diagnose. We aimed to establish a relationship between VCFs and sacroiliac (SI) joint pain.

Objectives: Demonstration of SI joint (SIJ) pain relief at up to 6 months after kyphoplasty (KP) in patients with VCFs and diagnosed SI dysfunction.

Study design: Retrospective study.

Setting: All patients were from a private chronic pain and orthopedics practice in the northeastern United States.

Methods: Fifty-one patients with VCFs diagnosed through imaging and SIJ dysfunction diagnosed through 2 diagnostic SIJ blocks who had failed conservative management were considered for KP. Numeric Rating Scale (NRS 11) scores were recorded at the baseline, after each SIJ block, and at 4 weeks and then 6 months after KP.

Results: Forty-nine patients underwent KP. At 4 weeks after the procedure, there was an 84% average reduction in NRS scores from the baseline (P < 0.01). At 6 months after the procedure, there was an 80% reduction in NRS scores from the baseline (P < 0.01).

Limitations: Larger sample sizes and a randomized control trial would be important steps in furthering the relationship between VCFs and SIJ.

Conclusion: VCFs can cause a referred pain pattern to the SIJ that is best treated by KP for long-term management.

本刊更多论文

椎体压缩性骨折患者骶髂关节疼痛的评估与治疗：回顾性病例系列。

背景：椎体压缩性骨折（VCFs）可影响整个脊柱骨盆复合体，并因其对脊柱张力和生物力学补偿的影响而导致难以预测的背痛。在老龄人口中，VCF 可导致严重的发病率和死亡率，而且难以诊断。我们的目标是建立椎间盘突出症与骶髂关节疼痛之间的关系：研究设计：回顾性研究：研究设计：回顾性研究：所有患者均来自美国东北部一家私人慢性疼痛和骨科诊所：51名通过影像学诊断为VCF和通过2次诊断性SIJ阻滞诊断为SIJ功能障碍且保守治疗失败的患者被考虑接受KP治疗。记录了基线、每次 SIJ 阻滞后、KP 后 4 周和 6 个月的数字评定量表（NRS 11）评分：结果：49 名患者接受了 KP。术后 4 周，NRS 评分比基线平均降低 84%（P < 0.01）。术后 6 个月，NRS 评分比基线降低了 80%（P < 0.01）：局限性：更大的样本量和随机对照试验将是进一步研究VCF和SIJ之间关系的重要步骤：结论：VCFs 可导致 SIJ 传入疼痛，最好通过 KP 进行长期治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Pain physician CLINICAL NEUROLOGY-CLINICAL NEUROLOGY

CiteScore

6.00

自引率

21.60%

发文量

234

期刊介绍： Pain Physician Journal is the official publication of the American Society of Interventional Pain Physicians (ASIPP). The open access journal is published 6 times a year. Pain Physician Journal is a peer-reviewed, multi-disciplinary, open access journal written by and directed to an audience of interventional pain physicians, clinicians and basic scientists with an interest in interventional pain management and pain medicine. Pain Physician Journal presents the latest studies, research, and information vital to those in the emerging specialty of interventional pain management – and critical to the people they serve.