CT-guided sacroiliac joint injection: Easy or difficult? : 53

Details

Serval ID
serval:BIB_975C263A81A1
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Poster: Summary – with images – on one page of the results of a researche project. The summaries of the poster must be entered in "Abstract" and not "Poster".
Collection
Publications
Institution
Title
CT-guided sacroiliac joint injection: Easy or difficult? : 53
Title of the conference
Swiss Radiological Congress 2010, Schweizerische Gesellschaft für Radiologie, Schweizerische Gesellschaft für Nuklearmedizin, Schweizerische Vereinigung der Fachleute für medizinisch technische Radiologie
Author(s)
Richarme D., Feydy A., Fayad F., Jourdan C., Rannou F., Drapé J.L., Theumann N.
Address
Lugano, Switzerland, June 3-5, 2010
ISBN
1424-4985
Publication state
Published
Issued date
2010
Volume
10
Series
Swiss Medical Forum = Forum Médical Suisse
Pages
26
Language
english
Abstract
Purpose: Fluoroscopy-guided sacroiliac joint (SIJ) injections are
technically difficult to perform because of the complex anatomy with
helicoidal conformation of the joint. Our study describes the procedure
of CT-guided SIJ injection, its feasibility and its rate of success.
Methods and materials: Retrospective study included 46 consecutive
patients. The procedure was performed by 3 MSK radiologists and
consisted in a puncture with a posterior approach in the inferior articular
part of SIJ, then in an injection of iodinated contrast agent (1ml) with CT
control of SIJ space opacification and finally in an injection of slowacting
corticosteroid. The SIJ approach was noticed as correct if there
was an inferior articular puncture and if the needle was in the articular
space, and as impossible if there was ankylosis or osteophytosis. The
study was divided in two successive periods: period 1 (4 first months)
and period 2 (12 last months).
Results: SIJ opacification was successful in 57% (26/46). We observed
a learning curve: opacification was succeeded in 66% (23/35) and there
was incorrect approach in 9% (3/35) during period 2 versus respectively
27% (3/11) and 45% (5/11) during period 1. Causes of failure were
incorrect approach in 40% (6/20 too low, 2/20 too high), impossible
approach in 30% (6/20) and unexplained in 30% (6/20). Mean duration
of procedure was about 28 minutes. No complication occurred.
Conclusion: CT guided SIJ injection is safe and successful in 66%
after a training period. The success depends on SIJ correct approach
and also on anatomical lesions.
Create date
29/06/2010 15:05
Last modification date
20/08/2019 14:59
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