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Journal articles on the topic 'Sacroiliac joint'

Author: Grafiati
Published: 4 June 2021
Last updated: 5 March 2023

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1

Fortin, Joseph D., Anthony P. Dwyer, Scott West, and John Pier. "Sacroiliac Joint." Spine 19, no. 13 (July 1994): 1475–82. http://dx.doi.org/10.1097/00007632-199407000-00010.

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2

Fortin, Joseph D., Charles N. Aprill, Bruce Ponthieux, and John Pier. "Sacroiliac Joint." Spine 19, no. 13 (July 1994): 1483–88. http://dx.doi.org/10.1097/00007632-199407000-00011.

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3

MURAKAMI, Eiichi. "Sacroiliac joint arthrodesis for chronic sacroiliac joint pain." Journal of Japanese Society of Lumbar Spine Disorders 13, no. 1 (2007): 197–203. http://dx.doi.org/10.3753/yotsu.13.197.

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4

Berthelot, Jean-Marie, Jean-Jacques Labat, Benoît Le Goff, François Gouin, and Yves Maugars. "Provocative sacroiliac joint maneuvers and sacroiliac joint block are unreliable for diagnosing sacroiliac joint pain." Joint Bone Spine 73, no. 1 (January 2006): 17–23. http://dx.doi.org/10.1016/j.jbspin.2004.08.003.

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5

Adipranoto, Gladys, and Andhika Yudistira. "Interobserver reliability on landmark-guided sacroiliac joint injection among 5th year residency in Orthopedic and Traumatology Department Faculty of Medicine Brawijaya University Malang, Indonesia." International Journal of Research in Medical Sciences 7, no. 6 (May 29, 2019): 2246. http://dx.doi.org/10.18203/2320-6012.ijrms20192506.

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Background: The most common misdiagnosed low backpain is result from the sacroiliac joint. There are a lot of methods we can use to treat it such as steroid injection. This method can be done by using landmark-guided technique or image-guided. Unfortunately, not all hospital in this country has the same facility to do image-guided technique using fluoroscopy to do the injection. Therefore, landmark-guided technique still could be used for the treatment of choice.Methods: In this research, authors did injection on sacroiliac joint of 7 preserved cadavers, on both sacroiliac joint, injection were done by 2 operators, which both are 5th- year residents of Orthopedic and Traumatology Department using 2 coloring markers, therefore each of operator got 14 injection spots. Operator 1 uses methyl red, and operator 2 uses methylene blue. The success of the injection evaluated visually. If operator 1 achieved the injection, the sacroiliac joint would be bright red coloured. If operator 2 achieved the injection, the sacroiliac joint would be blue coloured. If both operator achieved the injection on the same joint, the mixture of both will be dark green coloured.Results: The result shown the success of both operator in doing injection for the sacroiliac joint is 9 joints (32.14%). There were 5 joints (17.86%) done by operator 1, and 4 joints (14.28%) done by operator 2. Operator 1 failed on 9 (32.14%) joints and operator 2 failed on 10 (35.72%) . The data was statistically analysed using Fisher Exact Test, result in p value 0.500 (p >0.05).Conclusions: In conclusion there is no significantly different the success of the injection between operator 1 and 2. The failure of the injection on sacroiliac joint could be affected by many factors such as injection technique, and anatomy variations of the sample.
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6

Slipman, Curtis W. "Sacroiliac Joint Syndrome." Pain Physician 2;4, no. 4;2 (April 14, 2001): 143–52. http://dx.doi.org/10.36076/ppj.2001/4/143.

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7

Jasper, Joseph F. "Sacroiliac Joint Syndrome." Pain Physician 3;4, no. 7;3 (July 14, 2001): 291. http://dx.doi.org/10.36076/ppj.2001/4/291.

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8

Gurumoorthi, R., and N. Vanathi. "Sacroiliac Joint Injection." Journal on Recent Advances in Pain 2, no. 3 (2016): 87–89. http://dx.doi.org/10.5005/jp-journals-10046-0049.

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9

Dreyfuss, Paul, Susan J. Dreyer, Andrew Cole, and Keith Mayo. "Sacroiliac Joint Pain." Journal of the American Academy of Orthopaedic Surgeons 12, no. 4 (July 2004): 255–65. http://dx.doi.org/10.5435/00124635-200407000-00006.

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10

Yang, Aaron J., Byron J. Schneider, and Scott Miller. "Sacroiliac Joint Interventions." Physical Medicine and Rehabilitation Clinics of North America 33, no. 2 (May 2022): 251–65. http://dx.doi.org/10.1016/j.pmr.2022.01.002.

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11

Patel, Vikas. "Sacroiliac Joint Injuries." Orthopedics 35, no. 5 (May 1, 2012): 398. http://dx.doi.org/10.3928/01477447-20120426-05.

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12

MURAKAMI, Eiichi. "Sacroiliac joint pain." Journal of Japanese Society of Lumbar Spine Disorders 13, no. 1 (2007): 40–47. http://dx.doi.org/10.3753/yotsu.13.40.

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13

Fortin, Joseph D. "Sacroiliac Joint Dysfunction." Journal of Back and Musculoskeletal Rehabilitation 3, no. 3 (July 1, 1993): 31–43. http://dx.doi.org/10.3233/bmr-1993-3308.

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14

Zelle, Boris A., Gary S. Gruen, Shervondalonn Brown, and Susan George. "Sacroiliac Joint Dysfunction." Clinical Journal of Pain 21, no. 5 (September 2005): 446–55. http://dx.doi.org/10.1097/01.ajp.0000131413.07468.8e.

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15

Manchikanti, Laxmaiah, Mark V. Boswell, Vijay Singh, and Hans C. Hansen. "Sacroiliac Joint Pain." Regional Anesthesia and Pain Medicine 28, no. 5 (September 2003): 488–90. http://dx.doi.org/10.1097/00115550-200309000-00028.

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16

OʼKeefe, Regis J., Jeffrey A. Jones, and Shepard R. Hurwitz. "BILATERAL SACROILIAC JOINT." Journal of Trauma: Injury, Infection, and Critical Care 33, no. 5 (November 1992): 793–94. http://dx.doi.org/10.1097/00005373-199211000-00036.

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17

Kumar, Naresh, and Barry W. L. Tan. "Sacroiliac Joint Injections." Techniques in Orthopaedics 28, no. 1 (March 2013): 50–54. http://dx.doi.org/10.1097/bto.0b013e318286759b.

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18

White, P. G., and A. M. Cooper. "Sacroiliac joint sepsis." Annals of the Rheumatic Diseases 53, no. 7 (July 1, 1994): 440–43. http://dx.doi.org/10.1136/ard.53.7.440.

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19

Baril, Robert T., John P. Lichtenberger, Samuel L. Southam, and Robert A. Jesinger. "The Sacroiliac Joint." Contemporary Diagnostic Radiology 34, no. 6 (March 2011): 1–5. http://dx.doi.org/10.1097/01.cdr.0000396188.24791.22.

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20

&NA;. "The Sacroiliac Joint." Contemporary Diagnostic Radiology 34, no. 6 (March 2011): 6–7. http://dx.doi.org/10.1097/01.cdr.0000396189.32415.f9.

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21

Kim, Nam Hyun, Hwan Mo Lee, Jae Doo Yoo, and Jin Suck Suit. "Sacroiliac Joint Tuberculosis." Clinical Orthopaedics and Related Research 358 (January 1999): 215???222. http://dx.doi.org/10.1097/00003086-199901000-00026.

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22

Foley, Brian S., and Ralph M. Buschbacher. "Sacroiliac Joint Pain." American Journal of Physical Medicine & Rehabilitation 85, no. 12 (December 2006): 997–1006. http://dx.doi.org/10.1097/01.phm.0000247633.68694.c1.

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23

Polly, David W. "The Sacroiliac Joint." Neurosurgery Clinics of North America 28, no. 3 (July 2017): 301–12. http://dx.doi.org/10.1016/j.nec.2017.03.003.

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24

Soto Quijano, David A., and Eduardo Otero Loperena. "Sacroiliac Joint Interventions." Physical Medicine and Rehabilitation Clinics of North America 29, no. 1 (February 2018): 171–83. http://dx.doi.org/10.1016/j.pmr.2017.09.004.

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25

Prather, Heidi, and Devyani Hunt. "Sacroiliac joint pain." Disease-a-Month 50, no. 12 (December 2004): 670–83. http://dx.doi.org/10.1016/j.disamonth.2004.12.004.

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26

&NA;. "Sacroiliac Joint Dysfunction." Back Letter 11, no. 4 (April 1996): 37. http://dx.doi.org/10.1097/00130561-199604000-00001.

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27

Ramlakan, R. J. S., and S. Govender. "Sacroiliac joint tuberculosis." International Orthopaedics 31, no. 1 (May 4, 2006): 121–24. http://dx.doi.org/10.1007/s00264-006-0132-9.

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28

Tuite, Michael. "Sacroiliac Joint Imaging." Seminars in Musculoskeletal Radiology 12, no. 1 (March 2008): 072–82. http://dx.doi.org/10.1055/s-2008-1067939.

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29

Murray, CPT William. "Sacroiliac Joint Dysfunction." Orthopaedic Nursing 30, no. 2 (2011): 126–31. http://dx.doi.org/10.1097/nor.0b013e31820f513e.

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&NA;. "Sacroiliac Joint Dysfunction." Orthopaedic Nursing 30, no. 2 (2011): 132–33. http://dx.doi.org/10.1097/nor.0b013e318217e4d4.

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31

Wójtowicz, Sebastian, Igor Sajko, Anna Hadamus, Anna Mosiołek, and Dariusz Białoszewski. "Effect of Sacroiliac Joint Manipulation on Selected Gait Parameters in Healthy Subjects." Ortopedia Traumatologia Rehabilitacja 19, no. 4 (August 31, 2017): 0. http://dx.doi.org/10.5604/01.3001.0010.4640.

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Background. The sacroiliac joints have complicated biomechanics. While the movements in the joints are small, they exert a significant effect on gait. This study aimed to assess how sacroiliac joint manipulation influences selected gait parameters. Material and method. The study enrolled 57 healthy subjects. The experimental group consisted of 26 participants diagnosed with dysfunction of one sacroiliac joint. The control group was composed of 31 persons. All subjects from the experimental group underwent sacroiliac joint manipulation. Results. The experimental group showed significant lengthening of the step on both sides and the stride length in this group increased as well. Moreover, the duration of the stride increased (p=0.000826). The maximum midfoot pressure was higher and maximum heel pressure decreased. The differences were statistically significant. Conclusions. 1. Subclinical dysfunctions of the sacroiliac joints may cause functional gait disturbance. 2. Manipulation of the iliosacral joint exerts a significant effect on gait parameters, which may lead to improved gait economy and effec­tiveness. 3. Following manipulation of one iliosacral joint, altered gait parameters are noted on both the manipulated side and the contralateral side, which may translate into improved quality of locomotion.
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32

Slipman, Curtis W., Jason S. Lipetz, Christopher T. Plastaras, Howard B. Jackson, Edward J. Vresilovic, David A. Lenrow, and Debra L. Braverman. "Fluoroscopically Guided Therapeutic Sacroiliac Joint Injections for Sacroiliac Joint Syndrome." American Journal of Physical Medicine & Rehabilitation 80, no. 6 (June 2001): 425–32. http://dx.doi.org/10.1097/00002060-200106000-00007.

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33

Hansen, Hans C. "Sacroiliac Joint Interventions: A Systematic Review." Pain Physician 1;10, no. 1;1 (January 14, 2007): 165–84. http://dx.doi.org/10.36076/ppj.2007/10/165.

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Background: The sacroiliac joint is a diarthrodial synovial joint with abundant innervation and capability of being a source of low back pain and referred pain in the lower extremity. There are no definite historical, physical, or radiological features to provide definite diagnosis of sacroiliac joint pain, although many authors have advocated provocational maneuvers to suggest sacroiliac joint as a pain generator. An accurate diagnosis is made by controlled sacroiliac joint diagnostic blocks. The sacroiliac joint has been shown to be a source of pain in 10% to 27% of suspected cases with chronic low back pain utilizing controlled comparative local anesthetic blocks. Intraarticular injections, and radiofrequency neurotomy have been described as therapeutic measures. This systematic review was performed to assess diagnostic testing (non-invasive versus interventional diagnostic techniques) and to evaluate the clinical usefulness of interventional techniques in the management of chronic sacroiliac joint pain. Objective: To evaluate and update the available evidence regarding diagnostic and therapeutic sacroiliac joint interventions in the management of sacroiliac joint pain. Study Design: A systematic review using the criteria as outlined by the Agency for Healthcare Research and Quality (AHRQ), Cochrane Review Group Criteria for therapeutic interventions and AHRQ, and Quality Assessment for Diagnostic Accuracy Studies (QUADAS) for diagnostic studies. Methods: The databases of EMBASE and MEDLINE (1966 to December 2006), and Cochrane Reviews were searched. The searches included systematic reviews, narrative reviews, prospective and retrospective studies, and cross-references from articles reviewed. The search strategy included sacroiliac joint pain and dysfunction, sacroiliac joint injections, interventions, and radiofrequency. Results: The results of this systematic evaluation revealed that for diagnostic purposes, there is moderate evidence showing the accuracy of comparative, controlled local anesthetic blocks. Prevalence of sacroiliac joint pain is estimated to range between 10% and 27% using a double block paradigm. The false-positive rate of single, uncontrolled, sacroiliac joint injections is around 20%. The evidence for provocative testing to diagnose sacroiliac joint pain is limited. For therapeutic purposes, intraarticular sacroiliac joint injections with steroid and radiofrequency neurotomy were evaluated. Based on this review, there is limited evidence for short-term and longterm relief with intraarticular sacroiliac joint injections and radiofrequency thermoneurolysis. Conclusions: The evidence for the specificity and validity of diagnostic sacroiliac joint injections is moderate. The evidence for accuracy of provocative maneuvers in diagnosis of sacroiliac joint pain is limited. The evidence for therapeutic intraarticular sacroiliac joint injections is limited. The evidence for radiofrequency neurotomy in managing chronic sacroiliac joint pain is limited. Keywords: Low back pain, sacroiliac joint pain, axial pain, spinal pain, diagnostic block, sacroiliac joint injection, thermal radiofrequency, and pulsed radiofrequency
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34

Uderhardt, S., D. Diarra, J. Katzenbeisser, J.-P. David, J. Zwerina, W. Richards, G. Kronke, and G. Schett. "Blockade of Dickkopf (DKK)-1 induces fusion of sacroiliac joints." Annals of the Rheumatic Diseases 69, no. 3 (March 19, 2009): 592–97. http://dx.doi.org/10.1136/ard.2008.102046.

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ObjectiveTo study whether Dickkopf (DKK)-1, an inhibitor of wingless (Wnt) signalling, is involved in the fusion of sacroiliac joints.MethodsMice transgenic for tumour necrosis factor (TNFtg mice), which develop bilateral sacroiliitis, were treated with vehicle, anti-TNF antibody or anti-DKK1 antibody. Sacroiliac joints were analysed for histological signs of inflammation, bone erosion, osteoclast formation and ankylosis. Moreover, expression of collagen type X, β-catenin and DKK-1 was assessed by immunohistochemistry.ResultsThere were no signs of spontaneous ankylosis of the sacroiliac joints in TNFtg mice. TNF blockade effectively reduced inflammation, bone erosion and osteoclast numbers in the sacroiliac joints, but did not lead to ankylosis. Blockade of DKK1 had no effect on inflammatory signs of sacroiliitis, but significantly reduced bone erosions and osteoclast counts. Moreover, DKK1 blockade promoted expression of collagen type X, the formation of hypertrophic chondrocytes and ankylosis of sacroiliac joints.ConclusionDKK1 influences inflammatory remodelling of sacroiliac joints by prevention of joint ankylosis. This may indicate an important role of the Wnt signalling pathway in the structural bone changes of axial joint disease. Although this model does not reflect the entire spectrum of ankylosing spondylitis in humans, it helps to explain the pathophysiological processes of sacroiliac joint ankylosis, which is a hallmark of the spondyloarthritides.
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35

Manfré, Luigi. "Percutaneous Sacroiliac Joint Fixation in Sacroiliac Instability." Interventional Neuroradiology 20, no. 5 (September 2014): 621–25. http://dx.doi.org/10.15274/inr-2014-10049.

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The prevalence of sacroiliac Joint (SIJ) disease as a cause of LBP is considered to range from 21% to 25%. Nevertheless, SIJ instability is frequently underestimated. Although conventional surgery has been used for several years in an attempt to stabilize the SIJ, a new percutaneous system has been proposed for articular fusion. Recently a new “one-step” fixation procedure has been proposed. We describe the case of a patient with painful SIJ instability treated with a fully CT-guided technique in simple analogue sedation.
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36

Ferrante, Michael F., Lawrence F. King, Elizabeth A. Roche, Philip S. Kim, Margaret Aranda, Leslie R. DeLaney, Issam A. Mardini, and Andrew J. Mannes. "Radiofrequency Sacroiliac Joint Denervation for Sacroiliac Syndrome." Regional Anesthesia and Pain Medicine 26, no. 2 (March 2001): 137–42. http://dx.doi.org/10.1097/00115550-200103000-00008.

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37

Ferrante, F. "Radiofrequency sacroiliac joint denervation for sacroiliac syndrome." Regional Anesthesia and Pain Medicine 26, no. 2 (March 2001): 137–42. http://dx.doi.org/10.1053/rapm.2001.21739.

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38

Bergamino, Chiara, Ruth Sanders, Ursula Fogarty, Antonella Puggioni, Clodagh Kearney, Florent David, and John David Stack. "Comparison of two ultrasound-guided injection techniques targeting the sacroiliac joint region in equine cadavers." Veterinary and Comparative Orthopaedics and Traumatology 29, no. 05 (September 2016): 386–93. http://dx.doi.org/10.3415/vcot-16-03-0041.

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Summary Objectives: To compare the accuracy and distribution of injectate for cranial (CR) and caudomedial (CM) ultrasound-guided injections of equine sacroiliac joints. Methods: Both sacroiliac joints from 10 lumbo sacropelvic specimens were injected using cranial parasagittal (CR; curved 18 gauge, 25 cm spinal needles) and caudomedial (CM; straight 18 gauge, 15 cm spinal needles) ultrasound-guided approaches. Injectate consisted of 4 ml iodinated contrast and 2 ml methylene blue. Computed tomo-graphical (CT) scans were performed before and after injections. Time for needle guidance and repositioning attempts were recorded. The CT sequences were analysed for accuracy and distribution of contrast. Results: Intra-articular contrast was detected in sacroiliac joints following 15/40 injections. The CR and CM approaches deposited injectate ≤ 2 cm from sacroiliac joint margins following 17/20 and 20/20 injections, respectively. Median distance of closest contrast to the sacroiliac joint was 0.4 cm (interquartile range [IQR]: 1.5 cm) for CR approaches and 0.6 cm (IQR: 0.95 cm) for CM approaches. Cranial injections resulted in injectate contacting lumbosacral intertrans-verse joints 15/20 times. Caudomedial injections were perivascular 16/20 times. Limitations: Safety and efficacy could not be established. Clinical relevance: Cranial and CM ultra-sound-guided injections targeting sacroiliac joints were very accurate for periarticular injection, but accuracy was poor for intra- articular injection. Injectate was frequently found in contact with interosseous sacroiliac ligaments, as well as neurovascular and synovial structures in close vicinity of sacroiliac joints.
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39

Singh, R. "Ossification of anterior sacroiliac ligament and its clinical significance." Journal of Morphological Sciences 32, no. 04 (October 2015): 267–68. http://dx.doi.org/10.4322/jms.065213.

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Abstract Introduction: Sacrum articulates on either side of the innominate bones forming sacroiliac joints. The joint is strengthened by anterior sacroiliac ligament anteriorly and dorsal sacroiliac ligament posteriorly. Weight of the body is transmitted from sacrum to iliac bone mainly through sacroiliac ligaments. Sacroiliac joint becomes important while treating ankylosis and degenerative diseases in pelvis. It exhibits number of variations with age. Materials and Methods: During osteology demonstration classes of first year MBBS students of KG Medical University Lucknow, UP, India, author came across a dry male pelvis having partial ossification of anterior sacroiliac ligament connecting the sacrum and ilium in left side. Results: The right SI Joint was not ossified. Only left antero-superior part of the anterior sacroiliac ligament was ossified and rest was not ossified. The length of ossified part of ligament was 4.5 cm and remaining part of the same was 6.5 cm. On the dorsal surface, posterior sacroiliac and interosseous ligaments were not ossiied. There was no ankylosis of sacroiliac joint but the coccyx was fused with tip of sacrum. The probable cause of ossification may be genetic or more weight transmission through this ligament due to shifting of centre of gravity as a result of leaning of the body in left side on account of disease, trauma or pathological conditions. Conclusion: This Case report brings out an unreported anatomical variant of partial ossiication of anterior sacroiliac ligaments. The knowledge will be of paramount importance to clinicians for pain, to radiologists for misinterpretation of radiographs and to anatomists for new variant.
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40

Baglan-Yentur, Songül, Oğuzhan Mete, Zeynep Tuna, Abdurrahman Tufan, and Deran Oskay. "The effects of the Mulligan concept in ankylosing spondylitis: a report of two cases." International Journal of Therapy and Rehabilitation 26, no. 5 (May 26, 2019): 1–10. http://dx.doi.org/10.12968/ijtr.2018.0068.

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Introduction/Aims The first complaint in ankylosing spondylitis is usually sacroiliac joint pain and morning stiffness. Aside from inflammation, sacroiliac joint pain is related to joint damage and mechanical stress. Many different methods are applied in the treatment of sacroiliac joint pain. This study aimed to investigate the effects of sacroiliac joint mobilisation on pain, function and mobility in patients with ankylosing spondylitis. Methods Two patients presented with sacroiliac joint pain: a 46-year-old male and a 34-year-old female. Both patients received eight sessions of mobilisation with movement, according to the Mulligan concept (sacroiliac joint mobilisation and mechanical correction). Sessions were held at 4-day intervals over a 28-day period. The patients were assessed for sacroiliac joint mobilisation immediately before and after the first session and their pain, function and mobility were assessed at the second and eighth sessions. Findings A decrease in pain and increases in functional performance and mobility were noted in both cases at the end of eight sessions. Conclusions Sacroiliac joint mobilisation might be effective in improving pain, function and mobility in patients with ankylosing spondylitis. Further studies should be conducted with an increased number of participants to confirm these findings.
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41

Tuite, Michael J. "Facet joint and sacroiliac joint injection." Seminars in Roentgenology 39, no. 1 (January 2004): 37–51. http://dx.doi.org/10.1016/j.ro.2003.10.007.

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42

Yudoyono, Farid, Dewi Pratiwi, Hendra Gunawan, and Deasy Herminawaty. "Chronic sacroiliac joint pain treated with pulsed radiofrequency ablation." Neurologico Spinale Medico Chirurgico 3, no. 1 (March 2, 2020): 9–11. http://dx.doi.org/10.36444/nsmc.v3i1.3.

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Chronic sacroiliac joint (SI) pain can cause disability in an aging society. Effective treatment of low back pain (LBP) originating from sacroiliac joints is difficult to achieve. We report the successful treatment of pulsed radiofrequency (PRF) ablation in a patient with chronic SI joint pain. There were no post-interventional complications. Clinical improvement reported after 12 months.
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43

Manchikanti, Laxmaiah. "Utilization Patterns of Sacroiliac Joint Injections from 2000 to 2018 in Fee-for-Service Medicare Population." Pain Physician 5;23, no. 9;5 (September 14, 2020): 439–50. http://dx.doi.org/10.36076/ppj.2020/23/439.

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Background: Sacroiliac joint is one of the proven causes of low back and lower extremity pain. Prevalence estimates of sacroiliac joint pain range from 10% to 25% in patients with persistent axial low back pain without disc herniation, discogenic pain, or radiculitis based on multiple diagnostic studies and systematic reviews. Over the years, utilization patterns of sacroiliac joint injections have been increasing in comparison to other interventional techniques. Further, the development of new current procedural terminology (CPT) codes and coverage policies for sacroiliac joint nerve blocks, sacroiliac joint radiofrequency neurotomy, and evolving evidence for sacroiliac joint fusion will further increase the utilization patterns. Study Design: Analysis of growth patterns of sacroiliac joint injections from 2000 to 2018 with comparative analysis of 2000 to 2009 and 2009 to 2018. Objectives: To assess utilization patterns of sacroiliac joint injections from 2000 to 2018. Methods The Centers for Medicare and Medicaid Services (CMS) Physician/Supplier Procedure Summary (PSPS) Master dataset was utilized in this analysis. Results: The results of the evaluation from 2009 to 2018 showed an increase of 11.3% and an annual increase of 1.2% per 100,000 Medicare population. However, from 2000 to 2009, an increase of 299.8% from 2000 to 2009 with an annual increase of 16.6% per 100,000 Medicare population. Limitations: The limitations of this study included a lack of data on the new sacroiliac joint nerve block and radiofrequency neurotomy codes. Further, this data did not include utilization patterns of sacroiliac joint fusions. In addition, Medicare Advantage patients were not included, which constitute approximately 30% of overall Medicare population. Further, there is also a possibility that state claims data may include claims from other states. As with all claims-based data analyses, this study is retrospective and thus potentially limited by bias. Finally, patients who are self or commercially insured are not part of the dataset. Conclusions: This study shows increases in utilization patterns of sacroiliac joint injections; however, at a significantly lower rate with an annual increase of 16.6% prior to 2009 and only 1.2% from 2009 to 2018 per 100,000 Medicare beneficiaries Key words: Chronic spinal pain, low back pain, sacroiliac joint arthritis, interventional techniques, sacroiliac joint injections
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44

Rupert, Matthew P. "Evaluation of Sacroiliac Joint Interventions: A Systematic Appraisal of the Literature." Pain Physician 2;12, no. 2;3 (March 14, 2009): 399–418. http://dx.doi.org/10.36076/ppj.2009/12/399.

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Background: The sacroiliac joint has been implicated as a source of low back and lower extremity pain. There are no definite historical, physical, or radiological features that can definitively establish a diagnosis of sacroiliac joint pain. Based on the present knowledge, an accurate diagnosis is made only by controlled sacroiliac joint diagnostic blocks. The sacroiliac joint has been shown to be a source of pain in 10% to 27% of suspected patients with chronic low back pain utilizing controlled comparative local anesthetic blocks. Study Design: A systematic review of diagnostic and therapeutic sacroiliac joint interventions. Objective: To evaluate the accuracy of diagnostic sacroiliac joint interventions and the utility of therapeutic sacroiliac joint interventions. Methods: The literature search was carried out by searching the databases of PubMed, EMBASE, and Cochrane reviews. Methodologic quality assessment of included studies was performed using the Agency for Healthcare Research and Quality (AHRQ) methodologic quality criteria for diagnostic accuracy and observational studies, whereas randomized trials were evaluated utilizing the Cochrane review criteria. Only studies with scores of 50 or higher were included for assessment. Level of evidence was based on the U.S. Preventive Services Task Force (USPSTF) criteria. Outcome Measures: For diagnostic interventions, the outcome criteria included at least 50% pain relief coupled with a patient’s ability to perform previously painful maneuvers with sustained relief using placebo-controlled or comparative local anesthetic blocks. For therapeutic purposes, outcomes included significant pain relief and improvement in function and other parameters. Short-term relief for therapeutic interventions was defined as 6 months or less, whereas long-term effectiveness was defined as greater than 6 months. Results: The indicated level of evidence is II-2 for the diagnosis of sacroiliac joint pain utilizing comparative, controlled local anesthetic blocks. The prevalence of sacroiliac joint pain is estimated to range between 10% and 38% using a double block paradigm in the study population. The false-positive rate of single, uncontrolled, sacroiliac joint injections is 20% to 54%. The evidence for provocative testing to diagnose sacroiliac joint pain is Level II-3 or limited. For radiofrequency neurotomy the indicated evidence is limited (Level II-3) for short- and longterm relief. Limitations: The limitations of this systematic review include the paucity of literature evaluating the role of both diagnostic and therapeutic interventions and widespread methodological flaws. Conclusions: The indicated evidence for the validity of diagnostic sacroiliac joint injections is Level II-2. The evidence for the accuracy of provocative maneuvers in the diagnosing of sacroiliac joint pain is limited (Level II-3). The evidence for radiofrequency neurotomy is also limited (Level II-3). Key words: Chronic low back pain, sacroiliac joint pain, sacroiliitis, sacroiliac joint injection, sacroiliac joint dysfunction, thermal radiofrequency, pulsed radiofrequency
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Farhoud, Hesham M., Ashraf M. Enite, Abd Elkhalek AlZalabany, and Tarek M. Elatar. "The Sacroiliac Joint Injection." Egyptian Journal of Hospital Medicine 74, no. 5 (January 1, 2019): 969–77. http://dx.doi.org/10.21608/ejhm.2019.25788.

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Lee, Sang Un, Ki Tack Kim, Kang Il Kim, and Young Soo Chun. "Pyogenic Sacroiliac Joint Infection." Journal of the Korean Orthopaedic Association 33, no. 7 (1998): 1656. http://dx.doi.org/10.4055/jkoa.1998.33.7.1656.

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Tilvawala, Khushali, Kailash Kothari, and Rupal Patel. "Sacroiliac joint: A review." Indian Journal of Pain 32, no. 1 (2018): 4. http://dx.doi.org/10.4103/ijpn.ijpn_18_18.

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Cloutier, Dagan, and Sandeep Johar. "Fluoroscopic Sacroiliac Joint Injections." JBJS Journal of Orthopaedics for Physician Assistants 4, no. 3 (2016): 7–9. http://dx.doi.org/10.2106/jbjs.jopa.16.00007.

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Thawrani, Dinesh P., Steven S. Agabegi, and Ferhan Asghar. "Diagnosing Sacroiliac Joint Pain." Journal of the American Academy of Orthopaedic Surgeons 27, no. 3 (February 2019): 85–93. http://dx.doi.org/10.5435/jaaos-d-17-00132.

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Al-khayer, Ahmad, Jim Hegarty, David Hahn, and Michael Paul Grevitt. "Percutaneous Sacroiliac Joint Arthrodesis." Journal of Spinal Disorders & Techniques 21, no. 5 (July 2008): 359–63. http://dx.doi.org/10.1097/bsd.0b013e318145ab96.

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