骶髂关节：最新技术综述

IF 1.7 Q2 SURGERY

JBJS Reviews Pub Date : 2024-02-05 eCollection Date: 2024-02-01 DOI:10.2106/JBJS.RVW.23.00151

David W Polly

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引用次数: 0

摘要

""骶髂关节（SIJ）是腰痛的常见病因，应纳入鉴别诊断。"骶髂关节疼痛的非手术治疗始终是第一线疗法；然而，当治疗不成功并转为慢性时，反复的非手术治疗就会变得昂贵。对于经过适当选择的患者，手术治疗具有成本效益。高质量的临床试验证明，与非手术治疗相比，经过适当选择的患者在统计和临床方面都有显著改善"。骶骨脊柱融合术会增加 SIJ 的退化和 SIJ 疼痛的频率。

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The Sacroiliac Joint: A Current State-of-the-Art Review.

» The sacroiliac joint (SIJ) is a common cause of low back pain and should be included in the differential diagnosis.» Nonoperative treatment of sacroiliac pain is always the first line of therapy; however, when it is unsuccessful and becomes chronic, then recurrent nonoperative treatment becomes expensive.» Surgical treatment is cost-effective in appropriately selected patients. High-quality clinical trials have demonstrated statistically and clinically significant improvement compared with nonsurgical management in appropriately selected patients.» Spinal fusion to the sacrum increases degeneration of the SIJ and frequency of SIJ pain.

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来源期刊

JBJS Reviews SURGERY-

CiteScore

4.40

自引率

4.30%

发文量

132

期刊介绍： JBJS Reviews is an innovative review journal from the publishers of The Journal of Bone & Joint Surgery. This continuously published online journal provides comprehensive, objective, and authoritative review articles written by recognized experts in the field. Edited by Thomas A. Einhorn, MD, and a distinguished Editorial Board, each issue of JBJS Reviews, updates the orthopaedic community on important topics in a concise, time-saving manner, providing expert insights into orthopaedic research and clinical experience. Comprehensive reviews, special features, and integrated CME provide orthopaedic surgeons with valuable perspectives on surgical practice and the latest advances in the field within twelve subspecialty areas: Basic Science, Education & Training, Elbow, Ethics, Foot & Ankle, Hand & Wrist, Hip, Infection, Knee, Oncology, Pediatrics, Pain Management, Rehabilitation, Shoulder, Spine, Sports Medicine, Trauma.