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sacroiliac joint

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https://www.readbyqxmd.com/read/29149139/reversal-of-growth-of-utilization-of-interventional-techniques-in-managing-chronic-pain-in-medicare-population-post-affordable-care-act
#1
Laxmaiah Manchikanti, Amol Soin, Dharam P Mann, Sanjay Bakshi, Vidyasagar Pampati, Joshua A Hirsch
BACKGROUND: Over the past 2 decades, the increase in the utilization of interventional techniques has been a cause for concern. Despite multiple regulations to reduce utilization of interventional techniques, growth patterns continued through 2009. A declining trend was observed in a previous evaluation; however, a comparative analysis of utilization patterns of interventional techniques has not been performed showing utilization before and after the enactment of the Affordable Care Act (ACA)...
November 2017: Pain Physician
https://www.readbyqxmd.com/read/29143113/percutaneous-ct-guided-sacroiliac-joint-sampling-for-infection-aspiration-biopsy-and-technique
#2
David Knipp, F Joseph Simeone, Sandra B Nelson, Ambrose J Huang, Connie Y Chang
OBJECTIVE: To evaluate methods of CT-guided sacroiliac joint sampling in patients with suspected infection. MATERIALS AND METHODS: All CT-guided sacroiliac joint sampling procedures for suspected infection were reviewed for sampling type (aspiration, lavage aspiration, biopsy), microbiology results, and clinical and imaging follow-up. The primary gold standard was anatomic pathology. If pathology was not available, then positive blood culture with the same organism as SIJ sampling, imaging and clinical follow-up, or clinical follow-up only were used...
November 15, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/29135886/interpreting-the-mint-randomized-trials-evaluating-radiofrequency-ablation-for-lumbar-facet-and-sacroiliac-joint-pain-a-call-from-asra-for-better-education-study-design-and-performance
#3
David A Provenzano, Asokumar Buvanendran, Oscar A de León-Casasola, Samer Narouze, Steven P Cohen
No abstract text is available yet for this article.
November 13, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/29130655/-efficacy-of-sacroiliac-joint-anterior-approach-with-double-reconstruction-plate-and-computer-assisted-navigation-percutaneous-sacroiliac-screw-for-treating-tile-c1-pelvic-fractures
#4
Zhen Tan, Yue Fang, Hui Zhang, Lei Liu, Zhou Xiang, Gang Zhong, Fu-Guo Huang, Guang-Lin Wang
OBJECTIVE: To compare the efficacy of sacroiliac joint anterior approach with double reconstruction plate and computer assisted navigation percutaneous sacroiliac screw for treating Tile C1 pelvic fractures. METHODS: Fifty patients with pelvic Tile C1 fractures were randomly divided into two groups ( n=25 for each) in the orthopedic department of West China Hospital of Sichuan University from December 2012 to November 2014. Patients in group A were treated by sacroiliac joint dislocation with anterior plate fixation...
September 2017: Sichuan da Xue Xue Bao. Yi Xue Ban, Journal of Sichuan University. Medical Science Edition
https://www.readbyqxmd.com/read/29130654/-classification-and-treatment-of-sacroiliac-joint-dislocation
#5
Zhen Tan, Zhong Huang, Liang Li, Wei-Kun Meng, Lei Liu, Hui Zhang, Guang-Lin Wang, Fu-Guo Huang
OBJECTIVE: To develop a renewed classification and treatment regimen for sacroiliac joint dislocation. METHODS: According to the direction of dislocation of sacroiliac joint,combined iliac,sacral fractures,and fracture morphology,sacroiliac joint dislocation was classified into 4 types. Type Ⅰ (sacroiliac anterior dislocation): main fracture fragments of posterior iliac wing dislocated in front of sacroiliac joint. Type Ⅱ (sacroiliac posterior dislocation): main fracture fragments of posterior iliac wing dislocated in posterior of sacroiliac joint...
September 2017: Sichuan da Xue Xue Bao. Yi Xue Ban, Journal of Sichuan University. Medical Science Edition
https://www.readbyqxmd.com/read/29122281/good-functional-outcome-in-patients-suffering-fragility-fractures-of-the-pelvis-treated-with-percutaneous-screw-stabilisation-assessment-of-complications-and-factors-influencing-failure
#6
Henrik Eckardt, Alexander Egger, Rebecca Maria Hasler, Christoph J Zech, Werner Vach, Norbert Suhm, Mario Morgenstern, Franziska Saxer
BACKGROUND: Low energy pelvic ring fractures in the elderly have traditionally been treated conservatively, a treatment with potential long-term complications and loss of self-independence. Percutaneous screw stabilisation of the posterior pelvic ring is a new treatment modality that enables immediate mobilisation. The aim of this study was to assess the functional outcome after sacroiliac stabilisation in the elderly. METHODS: All elderly patients with a surgically stabilised low energy pelvic fracture between 2010 and 2015 were included...
November 4, 2017: Injury
https://www.readbyqxmd.com/read/29116387/-imaging-of-the-sacroiliac-joints
#7
REVIEW
X Baraliakos, M Fruth, J Braun
The sacroiliac joints (SIJ) are an important part of the axial skeleton and a main area to consider in the examination of back pain both clinically and on imaging. Patients with inflammatory-rheumatic symptoms as well as those with other diagnoses may present with pathological changes in the SIJ even at young ages. Although imaging of the SIJ is not the only factor in approaching the final diagnosis, it nevertheless provides a lot of important information about differential diagnoses, thereby enabling certain causes of back pain to be excluded...
November 7, 2017: Zeitschrift Für Rheumatologie
https://www.readbyqxmd.com/read/29097955/thoracic-schwannoma-in-an-adult-male-presenting-with-thoracic-pain-a-case-report
#8
Andrew M Rodgers, Kim B Khauv
Objective: The purpose of this case report was to describe a patient presenting with back pain subsequently diagnosed with thoracic schwannoma. Clinical Features: A 45-year-old male presented to a chiropractic practice with mid-back, low back, and sacroiliac pain. Orthopedic examination revealed joint dysfunction in the thoracic-sacroiliac region with normal findings on neurologic examination. An initial diagnosis of thoracic spinal pain and sacroiliac sprain and strain was made...
September 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29095408/impact-of-iliac-instrumentation-on-the-quality-of-life-of-patients-with-adult-spine-deformity
#9
Mar Pérez Martin-Buitrago, Javier Pizones, Francisco Javier Sánchez Perez-Grueso, Mariana Díaz Almirón, Alba Vila-Casademunt, Ibrahim Obeid, Ahmet Alanay, Frank Kleinstück, Emre R Acaroglu, Ferran Pellisé
STUDY DESIGN: Retrospective comparative analysis of data collected prospectively in an adult spine deformity (ASD) multicenter database. OBJECTIVE: To evaluate the impact of the iliac screws on the quality of life of ASD patients compared with those instrumented above the pelvis (L5/S1/S2). SUMMARY OF BACKGROUND DATA: The impact on patient's daily activities and functions, of immobilizing the sacroiliac joint with iliac screws for the treatment of ASD is still underexplored...
October 31, 2017: Spine
https://www.readbyqxmd.com/read/29093157/sacroiliac-joint-magnetic-resonance-imaging-in-asymptomatic-patients-with-recurrent-acute-anterior-uveitis-a-proof-of-concept-study
#10
Thauana L Oliveira, Walter P Maksymowych, Robert G W Lambert, Cristina Muccioli, Artur R C Fernandes, Marcelo M Pinheiro
OBJECTIVE: Our aim was to quantify bone marrow edema (BME) and/or structural lesions in the sacroiliac joints (SIJ) of patients with recurrent acute anterior uveitis (rAAU) with or without back pain, to evaluate the frequency of axial (axSpA) and peripheral spondyloarthritis (pSpA) and to establish which criterion for magnetic resonance imaging (MRI) positivity best reflected the global assessment of SIJ MRI. METHODS: A total of 50 patients with rAAU without prior rheumatologic diagnosis were included in our cross-sectional study, and these patients were compared to 21 healthy volunteers...
November 1, 2017: Journal of Rheumatology
https://www.readbyqxmd.com/read/29092085/appropriate-use-criteria-for-fluoroscopically-guided-diagnostic-and-therapeutic-sacroiliac-interventions-results-from-the-spine-intervention-society-convened-multispecialty-collaborative
#11
John MacVicar, D Scott Kreiner, Belinda Duszynski, David J Kennedy
Objective: To provide an overview of a multisociety effort to formulate appropriate use criteria for image-guided injections and radiofrequency procedures in the diagnosis and treatment of sacroiliac joint and posterior sacroiliac complex pain. Methods: The Spine Intervention Society convened a multisociety effort to guide physicians and define for payers the appropriate use of image-guided injections and radiofrequency procedures. An evidence panel was established to write systematic reviews, define key terms and assumptions, and develop clinical scenarios to be addressed...
November 1, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29090349/bone-disease-in-axial-spondyloarthritis
#12
REVIEW
Margot Van Mechelen, Giulia Rossana Gulino, Kurt de Vlam, Rik Lories
Axial spondyloarthritis is a chronic inflammatory skeletal disorder with an important burden of disease, affecting the spine and sacroiliac joints and typically presenting in young adults. Ankylosing spondylitis, diagnosed by the presence of structural changes to the skeleton, is the prototype of this disease group. Bone disease in axial spondyloarthritis is a complex phenomenon with the coexistence of bone loss and new bone formation, both contributing to the morbidity of the disease, in addition to pain caused by inflammation...
October 31, 2017: Calcified Tissue International
https://www.readbyqxmd.com/read/29089045/a-young-female-presenting-with-unilateral-sacroiliitis-following-dengue-virus-infection-a-case-report
#13
W D Jayamali, H M M T B Herath, Aruna Kulatunga
BACKGROUND: Dengue is a common arthropod-borne viral infection in Sri Lanka which is spread by the mosquitos of the genus Aedes. The clinical features of dengue include high-grade fever associated with arthralgia and myalgia. However, dengue virus is not considered an arthritogenic virus. We report a case of a previously healthy young female who presented with imaging-confirmed right-sided sacroiliitis 10 days after developing dengue fever. This is the first reported case that shows a possible link between dengue infection and development of arthritis...
November 1, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29075522/imaging-of-juvenile-spondyloarthritis-part-ii-ultrasonography-and-magnetic-resonance-imaging
#14
REVIEW
Iwona Sudoł-Szopińska, Michał Znajdek, Piotr Gietka, Violeta Vasilevska-Nikodinovska, Lukas Patrovic, Vladka Salapura
Juvenile spondyloarthropathies are mainly manifested by symptoms of peripheral arthritis and enthesitis. Early involvement of sacroiliac joints and spine is exceptionally rare in children; this usually happens in adulthood. Conventional radiographs visualize late inflammatory lesions. Early diagnosis is possible with the use of ultrasonography and magnetic resonance imaging. The first part of the article presented classifications and radiographic presentation of juvenile spondyloarthropathies. This part discusses changes seen on ultrasonography and magnetic resonance imaging...
September 2017: Journal of Ultrasonography
https://www.readbyqxmd.com/read/29067775/dual-phase-hybrid-18-f-fluoride-positron-emission-tomography-mri-in-ankylosing-spondylitis-investigating-the-link-between-mri-bone-changes-regional-hyperaemia-and-increased-osteoblastic-activity
#15
Lino M Sawicki, Susanne Lütje, Xenofon Baraliakos, Jürgen Braun, Julian Kirchner, Johannes Boos, Philipp Heusch, Verena Ruhlmann, Ken Herrmann, Lale Umutlu, Harald H Quick, Gerald Antoch, Christian Buchbender
INTRODUCTION: Focal (18) F-Fluoride uptake on blood-pool phase PET represents regional hyperaemia, while it indicates osteoblastic activity on mineralization phase PET. This study investigates the link between regional hyperaemia and osteoblastic activity in inflammatory and chronic lesions of ankylosing spondylitis (AS) of the sacroiliac joints (SIJ) using dual-phase (18) F-Fluoride PET/MRI. METHODS: Thirteen patients (six men, seven women, age: 37 ± 10 years) with active AS prospectively underwent dual-phase (18) F-Fluoride PET/MRI...
October 25, 2017: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/29065931/relevance-of-structural-damage-in-the-sacroiliac-joints-for-the-functional-status-and-spinal-mobility-in-patients-with-axial-spondyloarthritis-results-from-the-german-spondyloarthritis-inception-cohort
#16
Mikhail Protopopov, Joachim Sieper, Hildrun Haibel, Joachim Listing, Martin Rudwaleit, Denis Poddubnyy
BACKGROUND: Functional status and spinal mobility in patients with axial spondyloarthritis (axSpA) are known to be determined both by disease activity and by structural damage in the spine. The impact of structural damage in the sacroiliac joints (SIJ) on physical function and spinal mobility in axSpA has not been studied so far. The objective of the study was to analyze the impact of radiographic sacroiliitis on functional status and spinal mobility in patients with axSpA. METHODS: In total, 210 patients with axSpA were included in the analysis...
October 24, 2017: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/29058134/distraction-arthrodesis-of-the-sacroiliac-joint-2-year-results-of-a-descriptive-prospective-multi-center-cohort-study-in-171-patients
#17
Volker Fuchs, Benjamin Ruhl
PURPOSE: The aim of the given study was to evaluate the long-term outcomes of patients undergoing sacroiliac joint (SIJ) distraction arthrodesis to treat SIJ-related pain. METHODS: Descriptive prospective multi-center cohort study involving 20 hospitals in Germany. Between January 2011 and June 2012, 171 patients with chronic SIJ pain underwent indirect arthrodesis of the SIJ using a distraction implant. The patients were questioned prior to surgery, 6-weeks, and 3-, 6-, 12- and 24-months postoperatively...
October 20, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29054990/how-3d-patient-specific-instruments-improve-accuracy-of-pelvic-bone-tumour-resection-in-a-cadaveric-study
#18
A Sallent, M Vicente, M M Reverté, A Lopez, A Rodríguez-Baeza, M Pérez-Domínguez, R Velez
OBJECTIVES: To assess the accuracy of patient-specific instruments (PSIs) versus standard manual technique and the precision of computer-assisted planning and PSI-guided osteotomies in pelvic tumour resection. METHODS: CT scans were obtained from five female cadaveric pelvises. Five osteotomies were designed using Mimics software: sacroiliac, biplanar supra-acetabular, two parallel iliopubic and ischial. For cases of the left hemipelvis, PSIs were designed to guide standard oscillating saw osteotomies and later manufactured using 3D printing...
October 2017: Bone & Joint Research
https://www.readbyqxmd.com/read/29050160/-value-of-mdixon-quant-sequence-diffusion-weighted-imaging-in-quantitatively-diagnosing-the-sacroiliitis-stages
#19
Y Y An, H X Li, Y Zhan, X W Lei
Objective: To evaluate the value of mDIXON-Quant sequence, diffusion-weighted imaging (DWI) in quantitative diagnosing of the sacroiliitis stages in patients with ankylosing spondylitis (AS). Methods: Based on the Bath Ankylosing Spondylitis Activity Index (BASDAI) and laboratory parameters, a total of 51 patients were diagnosed with AS. They were divided into two groups as early active group (n=20) and chronic active group (n=31), and at the same time, 25 healthy people from Tianjin were included as control group...
October 10, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29037308/topographic-mri-evaluation-of-the-sacroiliac-joints-in-patients-with-axial-spondyloarthritis
#20
Laís Uyeda Aivazoglou, Orlando Rondan Zotti, Marcelo de Medeiros Pinheiro, Moacir Ribeiro de Castro Junior, Andrea Puchnick, Artur da Rocha Corrêa Fernandes, Eloy de Ávila Fernandes
OBJECTIVE: To evaluate the imaging features of spondyloarthritis in magnetic resonance imaging (MRI) of the sacroiliac (SI) joint and topography (in thirds) and affected margin, considering that this issue is rarely addressed in the literature. METHODS: A cross-sectional study evaluating MRI (1.5T) of SI in 16 patients with axial spondyloarthritis, for the presence of acute (subchondral bone edema, enthesitis, synovitis and capsulitis) and chronic (erosions, subchondral bone sclerosis, bony bridges, and fatty infiltration) changes, performed by two blinded radiologists...
September 2017: Revista Brasileira de Reumatologia
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