A systematic review of sacroiliac joint interventions

摘要: Background The sacroiliac joint is an accepted source of low back pain with or without associated lower extremity symptoms. diagnosis and management the role interventional techniques have been controversial. Objective To evaluate clinical usefulness interventions in pain. Study design A systematic review using criteria as outlined by Agency for Healthcare Research Quality (AHRQ), Cochrane Review Group Criteria, QUADAS diagnostic studies. Methods databases EMBASE MEDLINE (1966 to November 2004), were searched. searches included reviews, narrative prospective retrospective studies, cross-references from articles reviewed. search strategy dysfunction, injections, interventions, radiofrequency. Results results this evaluation showed that purposes, there moderate evidence showing accuracy comparative, controlled local anesthetic blocks. Prevalence was demonstrated be 10% 19% a double block paradigm. false-positive rate single, uncontrolled, injections reported 20%.For therapeutic purposes intraarticular steroid radiofrequency neurotomy evaluated. Based on review, short-term limited long-term relief injections. Evidence managing inconclusive. Conclusions specificity validity moderate.The moderate. chronic limited.