Sacroiliac joint interventions: a systematic review.

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