• Acta Orthop Traumatol Turc · Jan 2014

    Comparative Study

    Middle-term therapeutic effect of the sacroiliac joint blockade in patients with lumbosacral fusion-related sacroiliac pain.

    • Nihal Büker, Semih Akkaya, Oğuzhan Gökalp, Ali Kıtış, Raziye Savkın, and A Esat Kıter.
    • School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey.
    • Acta Orthop Traumatol Turc. 2014 Jan 1; 48 (1): 61-6.

    ObjectiveThe aim of this study was to compare the therapeutic effect of sacroiliac (SI) blockade in patients with and without lumbosacral fusion.MethodsThis study included 72 patients diagnosed with SI pain and who received blockade injection (methylprednisolone and lidocaine). Patients were divided into 2 groups; 22 patients in the fusion group who underwent previous lumbosacral fusion and 50 patients in the non-fusion group. Average follow-up was 17.7 (range: 6 to 30) months. All patients were evaluated before and after intervention using the Visual Analog Scale (VAS), Oswestry Disability Index, Rivermead Mobility Index and SF-36. Results were statistically analyzed.ResultsActivity pain (a component of VAS) was significantly better in the non-fusion group than the fusion group (p=0.042). No other statistically significant differences were observed between groups (p>0.05).ConclusionSacroiliac blockade has a similar therapeutic effect on patients who underwent lumbosacral fusion surgery as on non-operated patients in the middle-term. Therefore, alternative treatment options are not necessary in patients with fusion.

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