A systematic evaluation of the therapeutic effectiveness of sacroiliac joint interventions.

摘要: BACKGROUND The contribution of the sacroiliac joint to low back and lower extremity pain has been a subject debate with extensive research. It is generally accepted that approximately 10% 25% patients persistent may have arising from joints. In spite this, there are currently no definite conservative, interventional, or surgical management options for managing pain. addition, continue be significant variations in application various techniques as well paucity literature. STUDY DESIGN A systematic review therapeutic interventions. OBJECTIVE To evaluate accuracy METHODS available literature on interventions chronic was reviewed. quality assessment clinical relevance criteria utilized were Cochrane Musculoskeletal Review Group randomized trials interventional developed by Newcastle-Ottawa Scale observational studies. level evidence classified good, fair, poor based U.S. Preventive Services Task Force (USPSTF). Data sources included relevant published 1966 through December 2011 identified searches PubMed EMBASE, manual bibliographies known primary articles. OUTCOME MEASURES outcome measure relief (short-term = up 6 months long-term > months). Secondary measures improvement functional status, psychological return work, reduction opioid intake. RESULTS For this review, 56 studies considered inclusion. Of these, 45 excluded total 11 met inclusion methodological 5 non-randomized cooled radiofrequency neurotomy fair.The effectiveness intraarticular steroid injections poor.The periarticular local anesthetic botulinum toxin poor. conventional pulsed LIMITATIONS limitations include interventions, technique, variable diagnostic standards CONCLUSIONS fair favor short-term injections, steroids botulin toxin, radiofrequency, neurotomy.