Computed tomography versus fluoroscopic guided-sacroiliac joint injection: a prospective comparative study
| العنوان: | Computed tomography versus fluoroscopic guided-sacroiliac joint injection: a prospective comparative study |
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| المؤلفون: | Manar A. Bessar, Shady E. Shaker, Ashraf E. Elsayed, Mohammad Abd Alkhalik Basha, Ahmed Awad Bessar, Mohamed M. Arnaout |
| المصدر: | Insights into Imaging Insights into Imaging, Vol 12, Iss 1, Pp 1-8 (2021) |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | lcsh:Medical physics. Medical radiology. Nuclear medicine, Lidocaine, lcsh:R895-920, 03 medical and health sciences, 0302 clinical medicine, medicine, Fluoroscopy, Radiology, Nuclear Medicine and imaging, Prospective cohort study, Computed tomography, Neuroradiology, 030203 arthritis & rheumatology, Sacroiliac joint, medicine.diagnostic_test, business.industry, Sacroiliac joint pain, Interventional radiology, Methylprednisolone acetate, Pain management, Oswestry Disability Index, medicine.anatomical_structure, Original Article, Nuclear medicine, business, 030217 neurology & neurosurgery, medicine.drug |
| الوصف: | Background There are limited data discussing long-term pain relief and comparability of different image-guided sacroiliac joint (SIJ) injection. This study compared CT and fluoroscopic-guided SIJ injections regarding statistically and clinically significant differences in numeric pain reduction, radiation doses, and patient’s satisfaction. Methods A prospective study conducted on 52 patients who met specific inclusion criteria of SIJ pain. A mixture of 1 ml of 40 mg methylprednisolone acetate diluted in 2 ml of lidocaine 2% was injected under either CT or fluoroscopic guidance. Numeric rating score (NRS) and Oswestry disability index (ODI) were assessed and recorded for each patient before procedure and one-week, and one-, three-, six-, and 12-months after procedure. The results were compared between both groups. Results Analysis of NRS one-month post-procedure showed a significant decrease from baseline in both groups: 12.5% in CT group (p = 0.002) and 9.5% in fluoroscopic group (p = 0.006). No significant difference in NRS between two groups at one- and three-months post-procedure (p = 0.11 and 0.1, respectively). There was a significant difference in NRS between two groups at six- and 12-months post-procedure (p = 0.001 and p p = 0.01). Conclusions CT-guided SIJ injection compares favorably with fluoroscopic guidance and offers statistically and clinically significant long-term pain relief. The use of dose reduction protocol in CT is important for decreasing the radiation dose. |
| تدمد: | 1869-4101 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2f51943167a79047c42e922264d52d17 https://doi.org/10.1186/s13244-021-00982-y |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....2f51943167a79047c42e922264d52d17 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 18694101 |
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