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Chronic sacroiliac joint dysfunction and CT-guided percutaneous fixation: a 6-year experience
F Jedi1, R Krysiak2, J A Hirsch3
1Minimal Invasive Spine Therapy Department, Mediterranean Institute of Oncology (IOM), Viagrande, Catania, Italy. farzaneh.jedi@gmail.com.
Neuroradiology
|June 8, 2023
Summary
Percutaneous sacroiliac screw fixation effectively treats sacroiliac joint dysfunction, significantly improving pain and patient satisfaction with no complications. This minimally invasive procedure offers a safe solution for chronic pain sufferers.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
- Spine Surgery
Background:
- Sacroiliac joint dysfunction causes persistent pain unresponsive to conservative treatments.
- Physiotherapy-resistant sacroiliac joint incompetence necessitates advanced interventions.
Purpose of the Study:
- Evaluate clinical outcomes, patient satisfaction, and complications of imaging-guided percutaneous screw fixation for sacroiliac joint dysfunction.
- Assess the safety and effectiveness of percutaneous screw fixation in managing chronic sacroiliac joint pain.
Main Methods:
- Retrospective analysis of a prospectively collected cohort (2016-2022).
- Percutaneous screw fixation using CT guidance and C-arm fluoroscopy for sacroiliac joint incompetence.
- Minimum of two screws per patient for sacroiliac joint stabilization.
Main Results:
- Significant improvement in Visual Analog Scale scores at 6 months (p<0.05).
- 100% of patients reported substantial pain reduction at final follow-up.
- Zero intraoperative or postoperative complications observed.
Conclusions:
- Percutaneous sacroiliac screw fixation is a safe and effective treatment for sacroiliac joint dysfunction.
- This technique offers a viable solution for patients with chronic, resistant sacroiliac joint pain.
