7,007 results match your criteria sacroiliac


Differentiation of inflammatory from degenerative changes in the sacroiliac joints by machine learning supported texture analysis.

Eur J Radiol 2021 May 11;140:109755. Epub 2021 May 11.

Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Raemistrasse 100, 8091 Zurich, Switzerland; Faculty of Medicine, University of Zurich, Switzerland.

Purpose: To compare the diagnostic performance of texture analysis (TA) against visual qualitative assessment in the differentiation of spondyloarthritis (SpA) from degenerative changes in the sacroiliac joints (SIJ).

Method: Ninety patients referred for suspected inflammatory lower back pain from the rheumatology department were retrospectively included at our university hospital institution. MRI at 3 T of the lumbar spine and SIJ was performed with oblique coronal T1-weighted (w), fluid-sensitive fat-saturated (fs) TIRM and fsT1w intravenously contrast-enhanced (CE) images. Read More

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Lumbar Disc Herniation is a Nonnegligible Factor for the Degeneration of Sacroiliac Joints.

Pain Physician 2021 May;24(3):E357-E365

Department of Rheumatology and Immunology, Guangdong Second Provincial General Hospital, China; The Second School of Clinical Medicine, Southern Medical University, China.

Background: Sacroiliac joint (SIJ) abnormality is a potential source of low back pain (LBP), therefore numerous patients receive various treatments because of the degenerative changes of SIJ. However, the outcome is unfavorable for patients because these morphologic alterations are common but not the origins of LBP. Previous studies revealed lumbar fusion and transitional vertebra increased the prevalence of degeneration of SIJ. Read More

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Subchondral Bone Changes Following Sacroiliac Joint Arthrodesis - A Morpho-mechanical Assessment of Surgical Treatment of the Painful Joint.

Pain Physician 2021 May;24(3):E317-E326

Department of Anatomy, University of Otago, Dunedin, New Zealand; Department of Orthopaedic and Trauma Surgery, University of Leipzig, Leipzig, Germany; Fraunhofer IWU, Dresden, Germany.

Background: Sacroiliac joint arthrodesis is an ultima ratio treatment option for sacroiliac joint dysfunction. Fusion drastically reduces sacroiliac joint movement providing long-lasting pain-relief associated with tension-relief to the innervated sacroiliac joint structures involved in force closure.

Objectives: To display the bone mineralization distribution patterns of the subchondral bone plate in 3 distinct regions (superior, anterior, and inferior) of the sacral and iliac counterparts of the sacroiliac joint pre- and post-sacroiliac joint arthrodesis and compare patterns of sacroiliac joint dysfunction post-sacroiliac joint fusion with sacroiliac joint dysfunction pre- arthrodesis patterns and those from healthy controls. Read More

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The Efficiency of Manual Therapy and Sacroiliac and Lumbar Exercises in Patients with Sacroiliac Joint Dysfunction Syndrome.

Pain Physician 2021 May;24(3):223-233

Istanbul Faculty of Medicine, Istanbul University, Fatih, Turkey.

Background: Manual therapy, exercise therapy, and the combination of these 2 are common treatments for sacroiliac joint dysfunction syndrome. The effects of these treatments have been discussed in several studies; the superiority of one over the other for patients with sacroiliac joint dysfunction syndrome is still the subject of discussion.

Objective: This study aims to assess the effects of manual therapy for sacroiliac joints, sacroiliac joints home-based exercises, and home-based lumbar exercises. Read More

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Evaluation of a screw insertion landmark for a minimally invasive repair technique in induced bilateral sacroiliac luxation in feline cadavers.

J Feline Med Surg 2021 May 14:1098612X211010724. Epub 2021 May 14.

College of Veterinary Medicine, Jeonbuk National University, Iksan, Korea.

Objectives: The aim of this study was to describe an alternative landmark for screw insertion into the body of the ilium with bilateral sacroiliac luxation in cats.

Methods: Seven cat cadavers with artificially induced bilateral sacroiliac luxation were used. The screw insertion point was determined using the caudal iliac crest and cranial acetabular rim. Read More

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Readability of extraspinal organs on scout images of lumbar spine MRI according to different protocols.

PLoS One 2021 13;16(5):e0251310. Epub 2021 May 13.

Department of Radiology, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Korea.

Background: Scout images of lumbar spine MRI often include the extraspinal organs, which are barely included in routine MRI and can be a potential cause of lumbar pain.

Purpose: To evaluate the readability of scout images for extraspinal organs in lumbar spine MRI according to different protocols.

Materials And Methods: A total of 150 patients who underwent 1. Read More

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Multimodal treatment including lumbar facet joint denervation for severe low back pain in patients with neuromuscular disorders.

Neurol Sci 2021 May 10. Epub 2021 May 10.

Department of Neurosurgery, Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.

Background: Severe low back pain (LBP) is an occasional complaint in patients with neuromuscular disorders (NMDs). Accurate diagnosis and treatment are required to manage LBP; however, the precise pathophysiology differs for each patient. This study aimed to evaluate the efficacy of lumbar facet joint denervation (FJD) and adjunctive modalities in the treatment of LBP in patients with NMD-associated kyphoscoliosis. Read More

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Presumed septic sacroiliitis in a puppy with unilateral hind limb lameness and sciatic nerve neuropathy.

Vet Med Sci 2021 May 9. Epub 2021 May 9.

Peninsula Emergency and Referral Hospital, Mornington, Vic., Australia.

A 5-month-old female entire Dachshund presented with an acute onset of left hind limb lameness following intense play. There were concurrent intermittent neurological deficits in the left hind limb, and pain in the lumbosacral region and on dorsal flexion of the tail. Computed tomography (CT) imaging revealed an asymmetric widening of the left sacroiliac joint with loss of cortical margins, accompanied by mild osteolytic changes of the adjacent ilium and sacrum highly suggestive of septic sacroiliitis. Read More

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Review of Current Evidence for Minimally Invasive Posterior Sacroiliac Joint Fusion.

Int J Spine Surg 2021 May 7. Epub 2021 May 7.

Department of Anesthesiology, University of Kansas Medical Center, Kansas City, Kansas.

The sacroiliac joint (SIJ) is a large, irregularly shaped, serpentine joint structure bordered anteriorly and posteriorly by the sacroiliac ligaments. With increased recognition of the SIJ as a pain source, treatments have been historically nonsurgical in nature. Common treatments include bracing, medications, activity modification, manual therapy, chiropractic manipulation, physical therapy, and intra-articular SIJ injections. Read More

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Radiographic evaluation of reactive osteitis in traumatic injury of sacroiliac joints.

Clin Imaging 2021 Apr 29;76:175-179. Epub 2021 Apr 29.

Departments of Radiology and Orthopaedic Surgery and Rehabilitation, Loyola University Chicago Stritch School of Medicine, 2160 S 1st Ave, Maywood, IL 60153, United States of America. Electronic address:

Objectives: After traumatic Sacroiliac (SI) joint injury, follow up radiographic imaging can demonstrate subchondral bone resorption resembling inflammatory sacroiliitis. No studies have described the incidence of marginal SI post-traumatic osteitis, the probable temporal relationship to the initial traumatic injury, or the possible effect of unilateral hardware fixation on the contralateral SI joint.

Methods: A Level 1 trauma center imaging database was queried to identify patients with pelvic bony trauma between 2005 and 2017 with CT baseline preserved SI cortication and unilateral/bilateral traumatic SI diastasis. Read More

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Radiation exposure associated with percutaneous fluoroscopically guided lag screw fixation for sacroiliac luxation in dogs.

Vet Surg 2021 May 6. Epub 2021 May 6.

Iowa State University College of Veterinary Medicine, Ames, Iowa, United States.

Objective: To determine radiation exposure to surgical personnel and to evaluate the accuracy of a modified percutaneous lag screw fixation technique for sacroiliac luxation (SIL) under fluoroscopic guidance in dogs.

Study Design: Cadaveric experimental study.

Sample Population: Seventeen beagle cadavers with iatrogenic SIL. Read More

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Musculoskeletal ultrasound for ankylosing spondylitis: A systematic review and meta-analysis.

Medicine (Baltimore) 2021 May;100(18):e25822

Department of Rheumatology, Xuzhou City Hospital of Traditional Chinese Medicine, Xuzhou, China.

Objective: To clarify if musculoskeletal ultrasound (US) would give additional information for the clinical examination to diagnose and evaluate the activity of ankylosing spondylitis (AS).

Methods: A literature search was performed in PubMed, Embase, Web of Science, the Cochrane Library, Sinomed, Chinese National Knowledge Infrastructure (CINK), and Wanfang databases from their inceptions to May 15, 2020. Studies that examined the musculoskeletal US, which detected sacroiliac joints in people with AS were included. Read More

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Coronal Compensation Mechanism of Pelvic Obliquity in Patients With Developmental Dysplasia of the Hip.

Global Spine J 2021 May 5:21925682211010760. Epub 2021 May 5.

NanKai University School of Medicine, Tianjin, China.

Study Design: Descriptive retrospective study.

Objective: DDH is a common lower limb deformity. It has been reported that this deformity can change the sagittal alignment of spine and pelvis. Read More

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A Case of Misdiagnosed Sacroiliac Joint Tuberculosis as Axial Spondyloarthritis.

Pain Pract 2021 May 4. Epub 2021 May 4.

Department of Rehabilitation Medicine, College of Medicine, Yeungnam University, Daegu, Republic of Korea.

A 27-year-old woman presented at a university hospital for right buttock pain (NRS:3) that has progressively increased in severity over 6 months. Patrick and sacral thrust tests elicited pain at the right sacroiliac joint (SIJ). The pelvis AP radiograph was unremarkable and computed tomography (CT) showed subtle focal erosion on the iliac side of the right SIJ (Figure 1). Read More

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Rectus femoris ossification accompanying with sacroiliac joint edema.

Turk J Phys Med Rehabil 2021 Mar 4;67(1):125-126. Epub 2021 Mar 4.

Department of Physical Medicine and Rehabilitation, University of Health Sciences, Haydarpaşa Numune Trainign and Research Hospital, Istanbul, Turkey.

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Undifferentiated connective tissue disease presenting with optic neuritis and concomitant axial spondyloarthritis: A rare case report.

Turk J Phys Med Rehabil 2021 Mar 4;67(1):111-114. Epub 2021 Mar 4.

Department of Physical Medicine and Rehabilitation, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkey.

Undifferentiated connective tissue disease (UCTD) represents a group of diseases which do not fulfill the criteria of rheumatologic diseases or may be considered as an early stage of any of these diseases. Axial spondyloarthritis (axSpA) is a disease accompanied by symptoms of inflammatory low back pain and peripheral symptoms, with more spine and sacroiliac joint involvement. In this report, we, for the first time, present a case of UCTD presenting with axSpA in whom the initial finding was optic neuritis, which is rarely seen in UCTD. Read More

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Enhancing perioperative landmark detection during sacroiliac joint fusion in patients suffering from low back pain.

Comput Assist Surg (Abingdon) 2021 Dec;26(1):41-48

Department of Surgery, Isala Hospital, Zwolle, The Netherlands.

Over the past decade, minimally invasive sacroiliac joint (SIJ) fusion has become an effective treatment for patients suffering from low back pain (LBP) originating from the SIJ. Perioperative C-arm fluoroscopy-assisted surgical navigation during SIJ fusion remains challenging due to the lack of 3D spatial information. This study developed and assessed a 3D CT/2D fluoroscopy integration approach based on digitally reconstructed radiographs (DRRs) obtained from pre-operative CT scans. Read More

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December 2021

The Sacroiliac Joint as a Cause of Pain - Review of the Sacroiliac Joint Morphology and Models for Pain Genesis.

Z Orthop Unfall 2021 May 3. Epub 2021 May 3.

Orthopaedic, Trauma Surgery and Plastic Surgery Clinic, Leipzig University Clinics, Germany.

Introduction: In recent years, the sacroiliac joint has become increasingly important as a generator of low back pain with and without pseudo-radicular pain in the legs. Up to 27% of reported back pain is generated by disorders in the sacroiliac joint.

Method: This review is based on a selective literature search of the sacroiliac joint (SIJ) as a possible pain generator. Read More

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Systematic review of sacroiliac joint motion and the effect of screw fixation.

Clin Biomech (Bristol, Avon) 2021 Apr 27;85:105368. Epub 2021 Apr 27.

Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI, United States of America; Orthopaedic & Rehabilitation Engineering Center, Marquette University, Milwaukee, WI, United States of America.

Background: Pelvic injuries that disrupt the sacroiliac joints often require surgical intervention to restore stability. Quantitative characterization of sacroiliac motion in response to physiologic loading provides important metrics of adequate fixation in the evaluation of newly emerged fixation techniques. The objective of this study was to systematically review and evaluate biomechanical evidence on the motion of the sacroiliac joint in its normal, destabilized, and stabilized states. Read More

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Vertical shear pelvic ring injuries: do transsacral screws prevent fixation failure?

OTA Int 2020 Sep 10;3(3):e084. Epub 2020 Jul 10.

Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.

Objectives: To determine the frequency of fixation failure after transsacral-transiliac (TS) screw fixation of vertical shear (VS) pelvic ring injuries (OTA/AO 61C1) and to describe the mechanism of failure of TS screws.

Design: Retrospective cohort study.

Setting: Level 1 academic trauma center. Read More

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September 2020

Treating sacroiliac joint dislocation through percutaneous sacroiliac screw fixation with the aid of 2 fluoroscopes: a novel technique.

Quant Imaging Med Surg 2021 May;11(5):2076-2084

Department of Orthopedics, The Second Hospital of Jilin University, Changchun, China.

Background: Percutaneous sacroiliac screw fixation is the standard treatment for sacroiliac joint (SIJ) dislocation. In most hospitals, the procedure is guided by a C-arm X-ray fluoroscopy system, which must be repeatedly repositioned during surgery. In this study, we investigated the feasibility of using 2 fluoroscopes simultaneously. Read More

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Pelvic Reconstruction With a Novel Three-Dimensional-Printed, Multimodality Imaging Based Endoprosthesis Following Enneking Type I + IV Resection.

Front Oncol 2021 13;11:629582. Epub 2021 Apr 13.

West China School of Medicine/West China Hospital, Sichuan University, Chengdu, China.

Background And Purpose: Pelvic tumor involving Type I + IV resections are technically challenging, along with various reconstructions methods presenting unsatisfactory outcomes and high complication rates. Since predominating studies preferred adopting pedicle screw-rod system (PRSS) to address this issue, we designed a novel three-dimensional-printed, multimodality imaging (3DMMI) based endoprosthesis with patient-specific instrument (PSI) assistance to facilitate the surgical reconstruction of pelvic tumor involving Enneking Type I + IV resection. We aimed to investigate the clinical effectiveness of this novel endoprosthesis and compare it with PRSS in Type I + IV reconstruction. Read More

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Low-dose computed tomography for axial spondyloarthritis: update on use and limitations.

Curr Opin Rheumatol 2021 Apr 28. Epub 2021 Apr 28.

Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada Department of Radiology, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Purpose Of Review: Recent developments in low-dose computed tomography (ldCT) have greatly reduced radiation exposure levels. This article reviews what a ldCT is and its use and limitations for imaging axial spondyloarthritis.

Recent Findings: Detection of structural damage in bone with CT is far superior to radiography and ldCT of the sacroiliac joints (SIJ) can now be done at radiation exposure levels equivalent to, or even less than, conventional radiography. Read More

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Enthesis lesions are associated with X-ray progression in psoriatic arthritis.

Int J Rheum Dis 2021 Apr 27. Epub 2021 Apr 27.

Department of Rheumatology, Hospital Universitario La Paz, Madrid, Spain.

Objective: To analyze the relationship among enthesis ultrasound (US) lesions and radiological structural damage in psoriatic arthritis (PsA) patients.

Methods: Consecutive PsA patients with swelling of at least 1 of the 2nd to 5th metacarpophalangeal joints were included. Clinical and demographic data were collected. Read More

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Minimally Invasive Sacroiliac Fusion Revision: A Technique Guide.

Int J Spine Surg 2021 Apr 1;15(2):274-279. Epub 2021 Apr 1.

Ortho San Antonio, San Antonio, Texas.

Study Design: A retrospective case-series of revision sacroiliac joint (SIJ) fusions.

Objective: To provide a technique guide for revision minimally invasive SIJ fusion.

Summary Of Background Data: SIJ dysfunction is a prevalent, yet underdiagnosed condition. Read More

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Platelet-Rich Plasma Versus Corticosteroid Injection for Lumbar Spondylosis and Sacroiliac Arthropathy: A Systematic Review of Comparative Studies.

Cureus 2021 Mar 23;13(3):e14062. Epub 2021 Mar 23.

Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, USA.

This systematic review compares clinical outcomes between platelet-rich plasma (PRP) and corticosteroid injections for the treatment of lumbar spondylosis and sacroiliac arthropathy. A systematic review was registered with the International Prospective Register of Systematic Reviews (PROSPERO) and performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines using the Pubmed, SCOPUS, and Ovid MEDLINE databases. All level I-III evidence comparative studies published in the English language investigating the clinical outcomes between PRP and corticosteroid injections for the treatment of lumbar spondylosis and sacroiliac arthropathy were included. Read More

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Validity and Reliability of Palpatory Clinical Tests of Sacroiliac Joint Mobility: A Systematic Review and Meta-analysis.

J Manipulative Physiol Ther 2021 Apr 22. Epub 2021 Apr 22.

School of Physical Education, Physiotherapy and Dance (ESEFID), Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Objective: The primary objective of this review was to investigate the reliability and validity of palpatory clinical tests of sacroiliac mobility. The secondary objective was to investigate which palpatory clinical tests of sacroiliac mobility exist in the literature.

Methods: PubMed, Embase, Scopus, Medline, and the Physiotherapy Evidence Database were searched. Read More

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Patterns of pathologic lymph nodes in anal cancer: a PET-CT-based analysis with implications for radiotherapy treatment volumes.

BMC Cancer 2021 Apr 22;21(1):447. Epub 2021 Apr 22.

Department of Hematology, Oncology and Radiation Physics, Skåne University Hospital, Lund, Sweden.

Background: This study investigates the patterns of PET-positive lymph nodes (LNs) in anal cancer. The aim was to provide information that could inform future anal cancer radiotherapy contouring guidelines.

Methods: The baseline [18F]-FDG PET-CTs of 190 consecutive anal cancer patients were retrospectively assessed. Read More

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Computed tomography osteoabsorptiometry-based investigation on subchondral bone plate alterations in sacroiliac joint dysfunction.

Sci Rep 2021 Apr 21;11(1):8652. Epub 2021 Apr 21.

Department of Macroscopic and Clinical Anatomy, Medical University of Graz, Graz, Austria.

Sacroiliac joint dysfunction (SIJD) is an underappreciated source of back pain. Mineralization patterns of the sacroiliac (SIJ) subchondral bone plate (SCB) may reflect long-term adaptations to the loading of the joint. Mineralization densitograms of 27 SIJD patients and 39 controls, were obtained using CT osteoabsorptiometry. Read More

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[Specific Tests and Inflammatory Biomarkers in the Evaluation of Brucellosis Disease].

Mikrobiyol Bul 2021 Apr;55(2):113-124

Health Sciences University Erzurum Regional Education and Research Hospital, Department of Infection Diseases and Clinical Microbiology, Erzurum, Turkey.

Brusellosis is the world's most common bacterial zoonotic infection and is still endemic in many developing countries. The clinical appearance of brucellosis is not specific, but the course and severity of the infection varies. In this study, it was aimed to determine the relationship between laboratory parameters and clinical response and organ involvement in patients with Brucellosis diagnosed with specific diagnostic tests. Read More

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