• A S Klauser, M Sailer-Hoeck, M M H Abdellah, M S Taljanovic, C Siedentopf, T Auer, J Brunner, and W R Jaschke.
• Diagnostic Radiology Department, Medical University of Innsbruck, Innsbruck, Austria.
• Ultraschall Med. 2016 Aug 1; 37 (4): 393-8.

PurposeTo evaluate the feasibility and effectiveness of US-guided sacroiliac joint injection in the treatment of sacroiliitis in children.Materials And MethodsThis study was approved by the institutional review board and informed oral and written consent was obtained from the patients and their parents. In 13 patients (7 females and 6 males), 9 - 16 years (mean +/- std 11.39 +/-1.98), 18 sacroiliac joint (SI joint) injections were performed under US guidance. All patients suffered from severe sacroiliitis. US scanning was performed using a linear-array transducer operating at 5 - 18 MHz. Rating of the patients pain using a 0 - 10 dolorimetry scale on a visual analog score (VAS) was recorded before, immediately after and 3 months after injection to monitor severity and therapeutic response.ResultsInjection could be performed in all patients without complication and showed good response immediately and 3 months after the injection with a decrease of the VAS (from mean +/- std 9.44 +/- 1.097 to 3.89 +/- 3.82, p < 0.001 and to 0.56 +/- 1.097, p < 0.05, respectively).ConclusionUS-guided SI joint injection was feasible in all children, relatively quick and easy to perform and appeared effective in the treatment of children with sacroiliitis.© Georg Thieme Verlag KG Stuttgart · New York.

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