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Sacroiliac joint abnormalities in paraplegics.
Annals of the Rheumatic Diseases
|August 1, 1979
Summary
Sacroiliac joint abnormalities are common in paraplegic patients, particularly those with high spinal cord injuries. Reduced trunk mobility likely compromises sacroiliac joint structure in these individuals.
Area of Science:
- Orthopedics
- Neurology
- Rheumatology
Background:
- Sacroiliac (SI) joint abnormalities have been reported in paraplegic patients.
- The specific pathogenesis and characteristics of these abnormalities require further clarification.
Purpose of the Study:
- To investigate the prevalence and nature of sacroiliac joint abnormalities in paraplegic patients.
- To explore the relationship between spinal cord injury level and SI joint pathology.
Main Methods:
- Retrospective analysis of 186 paraplegic patients.
- Radiographic assessment of sacroiliac joint structure.
Main Results:
- 25% of patients exhibited partial or complete SI joint fusion.
- 15% showed milder SI joint abnormalities.
- Abnormalities were more prevalent in patients with higher spinal cord injuries and differed from ankylosing spondylitis findings.
Conclusions:
- Absence of trunk mobility due to paraplegia may compromise SI joint integrity.
- Reduced mobility is a likely factor in the pathogenesis of SI joint abnormalities in paraplegics.