2024, Number 4
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Ortho-tips 2024; 20 (4)
Sacroileitis: a little understood pathology
Rivas-Sandoval FA, Soto JI, Vallejo GAH, Soria ILM, Verduzco HLA
Language: Spanish
References: 54
Page: 255-261
PDF size: 257.34 Kb.
ABSTRACT
Sacroiliitis is considered an inflammation of the sacroiliac joint, which can be unilateral or bilateral, characterized by referred pain in the lower back that can radiate to both lower limbs, a pathology that is normally overlooked, underestimated, since due to the number of nervous, ligamentous structures and muscles, goes unnoticed, although it is a common spondyloarthropathy in older people and young adults, a common pathology that is associated with 25% of consultations in the traumatology and orthopedics service, mainly in the spine and pelvis services and acetabulum. This pathology incapacitates the patient in most cases since due to the condition of this joint that is responsible for transferring weight from the upper part to the lower part of the body, which limits physical activities to ambulation of patients. Therefore, it is essential to identify the risk factors associated with lumbar pain in the lower back, since it is a pathology which is associated with several differential diagnoses, as well as the importance of the orthopedic trauma doctor identifying fundamental characteristics of the pain triggered by the joint. The purpose of this article is to expand the reader's knowledge for a better patient approach to this pathology.
REFERENCES
Wong M, Sinkler MA, Kiel J. Anatomy, abdomen and pelvis, sacroiliac joint. In: StatPearls [Internet]. Treasure Island (FL), USA: StatPearls Publishing; 2021.
Kiapour A, Joukar A, Elgafy H, Erbulut DU, Agarwal AK, Goel VK. Biomechanics of the sacroiliac joint: anatomy, function, biomechanics, sexual dimorphism, and causes of pain. Int J Spine Surg. 2020; 14 (Suppl 1): 3-13.
Pedraz T, Martínez A, Pascual E. Acute hip monoarthritis in a patient treated with isotretinoin. J Clin Rheumatol. 2006; 12: 105-106.
Thiboutot D, Gollnick H, Bettoli V, Dréno B, Kang S, Leyden JJ, et al. New insights into the management of acne: An update from the global alliance to improve outcomes in acne group. J Am Acad Dermatol. 2009; 60: S1-S50.
Chuang CW, Hung SK, Pan PT, Kao MC. Diagnosis and interventional pain management options for sacroiliac joint pain. Ci Ji Yi Xue Za Zhi. 2019; 31 (4): 207-210.
Cohen SP, Chen Y, Neufeld NJ. Sacroiliac joint pain: A comprehensive review of epidemiology, diagnosis and treatment. Expert Rev Neurother. 2013; 13: 99-116.
Simopoulos TT, Manchikanti L, Gupta S, Aydin SM, Kim CH, Solanki D, et al. Systematic review of the diagnostic accuracy and therapeutic effectiveness of sacroiliac joint interventions. Pain Physician. 2015; 18 (5): E713-E756.
Manchikanti L, Falco FJ, Benyamin RM, Kaye AD, Boswell MV, Hirsch JA. A modified approach to grading of evidence. Pain Physician. 2014; 17: E319-E325.
Schmidt GL, Bhandutia AK, Altman DT. Management of sacroiliac joint pain. J Am Acad Orthop Surg. 2018; 26 (17): 610-616.
Takahira Takaso MN, Kuroiwa MJ. Joint Surg. 2013.
Aranke M, McCrudy G, Rooney K, Patel K, Lee CA, Hasoon J, et al. Minimally invasive and conservative interventions for the treatment of sacroiliac joint pain: a review of recent literature. Orthop Rev (Pavia). 2022; 14 (4): 34098.
Banegas Illescas ME, López Menéndez C, Rozas Rodríguez ML, Fernández Quintero RM. Nuevos criterios ASAS para el diagnóstico de espondiloartritis. Diagnóstico de sacroileítis por resonancia magnética. Radiología. 2014; 56 (1): 7-15.
Goldthwaite G, Osgood R. A consideration of the pelvis articulation from an anatomical, pathological, and clinical standpoint. Boston Med Surg J. 1905; 152: 593-601.
Slipman C, Whyte W, Chow D, Chou L, Lenrow D, Ellen M. Sacroiliac join syndrome. Pain Physician. 2001; 4: 143-152.
Szadek KM, Hoogland PV, Zuurmond WW, De Lange JJ, Perez RS. Possible nociceptive structures in the sacroiliac joint cartilage: An immunohistochemical study. Clin Anat. 2010; 23 (2): 192-198. doi: 10.1002/ca.20908.
Rubin DI. Epidemiology and risk factors for spine pain. Neurol Clin. 2007; 25 (2): 353-371. doi: 10.1016/j.ncl.2007.01.004.
Maigne JY, Planchon CA. Sacroiliac joint pain after lumbar fusion. A study with anesthetic blocks. Eur Spine J. 2005; 14 (7): 654-658.
Katz V, Schofferman J, Reynolds J. The sacroiliac joint: a potential cause of pain after lumbar fusion to the sacrum. J Spinal Disord Tech. 2003; 16 (1): 96-99.
DePalma MJ, Ketchum JM, Saullo TR. Etiology of chronic low back pain in patients having undergone lumbar fusion. Pain Med. 2011; 12: 732-739.
Unoki E, Abe E, Murai H, Kobayashi T, Abe T. Fusion of multiple segments can increase the incidence of sacroiliac joint pain after lumbar or lumbosacral fusion. Spine (Phila Pa 1976). 2016; 41 (12): 999-1005. doi: 10.1097/brs.0000000000001409.
Liliang PC, Lu K, Liang CL, Tsai YD, Wang KW, Chen HJ. Sacroiliac joint pain after lumbar and lumbosacral fusion: findings using dual sacroiliac joint blocks. Pain Med. 2011; 12 (4): 565-570.
Ha KY, Lee JS, Kim KW. Degeneration of sacroiliac joint after instrumented lumbar or lumbosacral fusion: a prospective cohort study over five-year follow-up. Spine (Phila Pa 1976). 2008; 33 (11): 1192-1198. doi: 10.1097/BRS.0b013e318170fd35.
Gates GF, McDonald RJ. Bone SPECT of the back after lumbar surgery. Clin Nucl Med. 1999; 24 (6): 395-403. doi: 10.1097/00003072-199906000-00004.
Shin MH, Ryu KS, Hur JW, Kim JS, Park CK. Comparative study of lumbopelvic sagittal alignment between patients with and without sacroiliac joint pain after lumbar interbody fusion. Spine (Phila Pa 1976). 2013; 38 (21): E1334-E1341. doi: 10.1097/ brs.0b013e3182a0da47.
Rashbaum RF, Ohnmeiss DD, Lindley EM, Kitchel SH, Patel VV. Sacroiliac joint pain and its treatment. Clin Spine Surg. 2016; 29 (2): 42-48. doi: 10.1097/bsd.0000000000000359.
Kamali F, Zamanlou M, Ghanbari A, Alipour A, Bervis S. Comparison of manipulation and stabilization exercises in patients with sacroiliac joint dysfunction patients: a randomized clinical trial. J Bodyw Mov Ther. 2019; 23 (1): 177-182.
Prather H. Pelvis and sacral dysfunction in sports and exercise. Phys Med Rehabil Clin N Am. 2000; 11 (4): 805-836, viii.
Kim DK, McKenzie GA. Accessory sacroiliac joint injection for relief of buttock pain. Pain Med. 2019; 20 (2): 412-413.
Rosa JE, Ruta S, Bravo M, Pompermayer L, Marin J, Ferreyra-Garrot L, et al. Value of color Doppler ultrasound assessment of sacroiliac joints in patients with inflammatory low back pain. J Rheumatol. 2019; 46 (7): 694-700.
Manchikanti L, Abdi S, Atluri S, Benyamin RM, Boswell MV, Buenaventura RM, et al. An update of comprehensive evidence-based guidelines for interventional techniques of chronic spinal pain: Part II: Guidance and recommendations. Pain Physician. 2013; 16: S49-S283.
Whiting P, Rutjes AW, Reitsma JB, Bossuyt PM, Kleijnen J. The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Med Res Methodol. 2003; 3: 25.
Colo G, Cavagnaro L, Alessio-Mazzola M, Zanirato A, Felli L, Formica M. Incidence, diagnosis and management of sacroiliitis after spinal surgery: a systematic review of the literature. Musculoskelet Surg. 2020; 104 (2): 111-123.
Lantto T. The scintigraphy of sacroiliac joints. A comparison of 99mTc-DPD and 99mTc-MDP. Eur J Nucl Med. 1990; 16 (8-10): 677-681. doi: 10.1007/BF00998168.
Roldan CJ, Javed S, Cata J. Sacroiliitis in cancer patients: a review of current literature. Pain Manag. 2020; 10 (2): 107-115. doi: 10.2217/pmt-2019-0046.
Yildiz A, Gungor F, Tuncer T, Karayalcin B. The evaluation of sacroiliitis using 99mTc-nanocolloid and 99mTc-MDP scintigraphy. Nucl Med Commun. 2001; 22 (7): 785-794.
Hansen H, Manchikanti L, Simopoulous TT, Christo PJ, Gupta S, Smith HS, et al. A systematic evaluation of the therapeutic effectiveness of sacroiliac joint interventions. Pain Physician. 2012; 15: E247-E278.
North American Spine Society. Percutaneous sacroiliac joint fusion. Definition appropriate coverage options. 2015. Available in: ww.spine.org/Documents/PolicyPractice/CoverageRecommendations/PercutaneousSacroiliacJointFusion.pdf
Lorio MP, Rashbaum R. ISASS policy statement - minimally invasive sacroiliac joint fusion. Int J Spine Surg. 2014; 8: 25.
Bossuyt PM, Reitsma JB, Bruns DE, Gatsonis CA, Glasziou PP, Irwig LM, et al. Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative. BMJ. 2003; 326 (7379): 41-44.
Jee H, Lee JH, Park KD, Ahn J, Park Y. Ultrasound-guided versus fluoroscopyguided sacroiliac joint intra-articular injections in the noninflammatory sacroiliac joint dysfunction: a prospective, randomized, single-blinded study. Arch Phys Med Rehabil. 2014; 95: 330-337.
Ledonio CG, Polly DW Jr, Swiontkowski MF, Cummings JT Jr. Comparative effectiveness of open versus minimally invasive sacroiliac joint fusion. Med Devices (Auckl). 2014; 7: 187-193.
Hawkins J, Schofferman J. Serial therapeutic sacroiliac joint injections: a practice audit. Pain Med. 2009; 10 (5): 850-853.
Liliang PC, Lu K, Weng HC, Liang CL, Tsai YD, Chen HJ. The therapeutic efficacy of sacroiliac joint blocks with triamcinolone acetonide in the treatment of sacroiliac joint dysfunction without spondyloarthropathy. Spine (Phila Pa 1976). 2009; 34: 896-900.
Borowsky CD, Fagen G. Sources of sacroiliac region pain: Insights gained from a study comparing standard intra-articular injection with a technique combining intra- and peri-articular injection. Arch Phys Med Rehabil. 2008; 89: 2048-2056.
Kim WM, Lee HG, Jeong CW, Kim CM, Yoon MH. A randomized controlled trial of intra-articular prolotherapy versus steroid injection for sacroiliac joint pain. J Altern Complement Med. 2010; 16: 1285-1290.
Dreyfuss P, Dreyer SJ, Cole A, Mayo K. Sacroiliac joint pain. J Am Acad Orthop Surg. 2004; 12: 255-265.
DonTigny RL. Function and pathomechanics of the sacroiliac joint. A review. Phys Ther. 1985; 65 (1): 35-44.
Aydin SM, Gharibo CG, Mehnert M, Stitik TP. The role of radiofrequency ablation for sacroiliac joint pain: A meta-analysis. PM R. 2010; 2: 842-851.
Hungerford B, Gilleard W, Hodges P. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine (Phila Pa 1976). 2003; 28: 1593-1600.
Vallejo R, Benyamin RM, Kramer J, Stanton G, Joseph NJ. Pulsed radiofrequency denervation for the treatment of sacroiliac joint syndrome. Pain Med. 2006; 7: 429-434.
Buchowski JM, Kebaish KM, Sinkov V, Cohen DB, Sieber AN, Kostuik JP. Functional and radiographic outcome of sacroiliac arthrodesis for the disorders of the sacroiliac joint. Spine J. 2005; 5: 520-529.
Smith AG, Capobianco R, Cher D, Rudolf L, Sachs D, Gundanna M, et al. Open versus minimally invasive sacroiliac joint fusion: a multi-center comparison of perioperative measures and clinical outcomes. Ann Surg Innov Res. 2013; 7 (1): 14.
Wise CL, Dall BE. Minimally invasive sacroiliac arthrodesis: outcomes of a new technique. J Spinal Disord Tech. 2008; 21 (8): 579-584.
The scintigraphy of sacroiliac joints. A comparison of 99mTc-DPD and 99mTc-MDP. Eur J Nucl Med. 1990; 16: 677-681.