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https://www.readbyqxmd.com/read/29306764/treatment-strategy-for-sacroiliac-joint-related-pain-at-or-around-the-posterior-superior-iliac-spine
#1
Eiichi Murakami, Daisuke Kurosawa, Toshimi Aizawa
OBJECTIVE: Pain at or around the posterior superior iliac spine (PSIS) is characteristic of sacroiliac joint (SIJ) -related pain. This pain can be treated by either a peri- or intra-articular injection into the joint, with the former being much easier to perform. We investigated whether peri- or intra-articular injections were more frequently effective in patients with SIJ-related pain, and aimed to create an efficient treatment strategy for SIJ-related pain at or around the PSIS. DESIGN: Prospective case-control study...
December 21, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29279813/the-assessment-of-fusion-following-sacroiliac-joint-fusion-surgery
#2
Hamid Abbasi, John A Hipp
Sacroiliac joint fusions (SIJF) have been the subject of many research studies. The technical success of an SIJF is in part determined by whether osseous bridging occurs across the sacroiliac joint (SIJ). However, no validated SIJF assessment method has been described. Our objective was to document previously described SIJF assessment methods and define and validate a detailed assessment system for SIJF. Our results are only intended to establish computed tomography (CT)-based guidelines for SIJF to be used in a subsequent large clinical study to correlate them with clinical outcomes...
October 20, 2017: Curēus
https://www.readbyqxmd.com/read/29277920/three-dimensional-morphological-analysis-of-the-human-sacroiliac-joint-influences-on-the-degenerative-changes-of-the-auricular-surfaces
#3
Keita Nishi, Toshiyuki Tsurumoto, Keishi Okamoto, Keiko Ogami-Takamura, Takashi Hasegawa, Takefumi Moriuchi, Junya Sakamoto, Joichi Oyamada, Toshio Higashi, Yoshitaka Manabe, Kazunobu Saiki
The sacroiliac joint (SIJ) is responsible for weight transmission between the spine and lower extremity. However, details of the structure and function of the SIJ remain unclear. In a previous study, we devised a method of quantitatively evaluating the level of degeneration of the SIJ using an age estimation procedure for the auricular surface of the ilium. Our results in that study suggested that the degree of degeneration of the joint surface may be associated with the morphology of the auricular surface of the ilium...
December 25, 2017: Journal of Anatomy
https://www.readbyqxmd.com/read/29240803/bone-edema-on-magnetic-resonance-imaging-is-highly-associated-with-low-bone-mineral-density-in-patients-with-ankylosing-spondylitis
#4
Danmin Wang, Zhiduo Hou, Yao Gong, Subiao Chen, Ling Lin, Zhengyu Xiao
OBJECTIVE: This study aimed to assess the relationship between bone marrow edema (BME) on magnetic resonance imaging (MRI) and bone mineral density (BMD) in patients with ankylosing spondylitis (AS). METHODS: The study included 333 patients with AS who underwent BMD measurements and axial MRI. Additionally, 106 normal controls were included. The modified New York criteria were used as the classification criteria of AS. Clinical, laboratory, and imaging data were collected and analyzed...
2017: PloS One
https://www.readbyqxmd.com/read/29186577/proposed-optimal-fluoroscopic-targets-for-cooled-radiofrequency-neurotomy-of-the-sacral-lateral-branches-to-improve-clinical-outcomes-an-anatomical-study
#5
Alison Stout, Paul Dreyfuss, Nathan Swain, Shannon Roberts, Eldon Loh, Anne Agur
Background: Current sacroiliac joint (SIJ) cooled radiofrequency (RF) is based on fluoroscopic anatomy of lateral branches (LBs) in three specimens. Recent studies confirm significant variation in LB positions. Objectives: To determine if common fluoroscopic needle placements for cooled SIJ RF are adequate to lesion all S1-3 LBs. If not, would different targets improve lesion accuracy? Methods: The LBs of 20 cadavers were dissected bilaterally (40 SIJs), and 26 G radiopaque wires were sutured to the LBs...
November 23, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29185288/imaging-in-axial-spondyloarthritis
#6
REVIEW
Xenofon Baraliakos
Axial spondyloarthritis (axSpA) covers the stage of non-radiographic axial spondyloarthritis (nr-axSpA) and classic ankylosing spondylitis. The pathognomonic findings of axSpA are mainly inflammatory and osteoproliferative changes in the sacroiliac joints (SIJ) and the spine. Various imaging techniques are being used in daily practice for assessment of disease-specific changes, such as periarticular bone marrow edema, erosions, sclerosis, fat metaplasia and ankylosis in the SIJ or spondylitis, spondylodiscitis, facet joint involvement, or syndesmophytes in the spine of patients with axSpA...
November 2017: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29185277/mri-findings-of-the-sacroiliac-joints-in-patients-with-low-back-pain-alternative-diagnosis-to-inflammatory-sacroiliitis
#7
Iris Eshed, Merav Lidar
BACKGROUND: Magnetic resonance imaging (MRI) is the most sensitive imaging modality for the detection of sacroiliitis. Diagnosing sacroiliitis on MRI is not always straightforward and can be challenging in some cases. OBJECTIVES: To evaluate the prevalence of alternative diagnoses suggested by MRI and characterize the MR appearance of the most common ones. METHODS: Consecutive MRI examinations of the sacroiliac joints (SIJ) performed between 2005 and 2012 were retrospectively evaluated for the presence of structural and active sacroiliitis findings according to the Assessment of SpondyloArthritis International Society guidelines...
November 2017: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29178931/anatomy-of-the-sacroiliac-joints-in-children-and-adolescents-by-computed-tomography
#8
Anna Zejden, Anne Grethe Jurik
BACKGROUND: Diagnosing sacroiliitis by magnetic resonance imaging (MRI) in children/adolescents can be difficult due to the growth-related changes. This study analyzed the normal osseous anatomy of the sacroiliac joints (SIJ) in a juvenile population using computed tomography (CT). METHODS: The anatomy of the SIJ was retrospectively analyzed in 124 trauma patients aged 9 months - <18 years by CT, based on 2 mm slices in axial, semi-axial and semi-coronal planes...
November 25, 2017: Pediatric Rheumatology Online Journal
https://www.readbyqxmd.com/read/29173661/sacroiliac-joint-interventions
#9
REVIEW
David A Soto Quijano, Eduardo Otero Loperena
Sacroiliac joint (SIJ) pain is an important cause of lower back problems. Multiple SIJ injection techniques have been proposed over the years to help in the diagnosis and treatment of this condition. However, the SIJ innervation is complex and variable, and truly intra-articular injections are sometimes difficult to obtain. Different sacroiliac joint injections have shown to provide pain relief in patients suffering this ailment. Various techniques for intraarticular injections, sacral branch blocks and radiofrequency ablation, both fluoroscopy guided and ultrasound guided are discussed in this paper...
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29167015/quantification-of-fat-infiltration-in-the-sacroiliac-joints-with-ankylosing-spondylitis-using-ideal-sequence
#10
R-M Guo, W-S Lin, W-M Liu, W-Y Zhou, S-E Cao, J Wang, Q-L Li
AIM: To quantitatively assess fat infiltration in the sacroiliac joints (SIJs) of patients with ankylosing spondylitis (AS) by measuring the fat/water signal ratios of periarticular bone marrow with iterative decomposition of water and fat with echo asymmetry and least square estimation (IDEAL). MATERIALS AND METHODS: Routine SIJ magnetic resonance imaging (MRI) and IDEAL were performed on 40 patients with AS and 30 healthy subjects. The fat infiltration regions (FIRs) and normal-appearing regions (NARs) of patients were measured based on the fat/water signal intensity on IDEAL...
November 19, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/29143113/percutaneous-ct-guided-sacroiliac-joint-sampling-for-infection-aspiration-biopsy-and-technique
#11
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/29116387/-imaging-of-the-sacroiliac-joints
#12
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/29093157/sacroiliac-joint-magnetic-resonance-imaging-in-asymptomatic-patients-with-recurrent-acute-anterior-uveitis-a-proof-of-concept-study
#13
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...
December 2017: Journal of Rheumatology
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
#14
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
#15
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
#16
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/29057492/qtc-prolongation-during-ciprofloxacin-and-fluconazole-combination-therapy-prevalence-and-associated-risk-factors
#17
Florine A Berger, Nico Monadian, Natasja M S de Groot, Bart Santbergen, Heleen van der Sijs, Matthijs L Becker, Annoek E C Broers, Teun van Gelder, Patricia M L A van den Bemt
AIM (S): Ciprofloxacin and fluconazole combination therapy is frequently used as prophylaxis for and treatment of infections in patients with haematological malignancies. However, both drugs are known to prolong the QTc-interval, which is a serious risk factor for Torsade de Pointes (TdP). Therefore, the aim of this study was to assess the prevalence of QTc-prolongation during ciprofloxacin and fluconazole use. The secondary objective was to determine associated risk factors of QTc-prolongation in these patients...
October 22, 2017: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/28970213/evaluation-of-the-change-in-structural-radiographic-sacroiliac-joint-damage-after-2-years-of-etanercept-therapy-embark-trial-in-comparison-to-a-contemporary-control-cohort-desir-cohort-in-recent-onset-axial-spondyloarthritis
#18
Maxime Dougados, Walter P Maksymowych, Robert Bm Landewé, Anna Moltó, Pascal Claudepierre, Manouk de Hooge, Robert G Lambert, Randi Bonin, Jack F Bukowski, Heather E Jones, Isabelle Logeart, Ron Pedersen, Annette Szumski, Bonnie Vlahos, Désirée van der Heijde
OBJECTIVE: To compare 2 years of radiographic sacroiliac joint (SIJ) changes in patients with recent onset axial spondyloarthritis (axSpA) receiving etanercept in a clinical trial (EMBARK) to similar patients not receiving biologics in a cohort study (DESIR). METHODS: Endpoints were changes at week 104 per the modified New York (mNY) grading system in total SIJ score (primary endpoint) and net percentage of patients with progression defined three ways. Treatment effect was analysed with and without adjustment for baseline covariates...
September 29, 2017: Annals of the Rheumatic Diseases
https://www.readbyqxmd.com/read/28970212/modification-of-structural-lesions-on-mri-of-the-sacroiliac-joints-by-etanercept-in-the-embark-trial-a-12-week-randomised-placebo-controlled-trial-in-patients-with-non-radiographic-axial-spondyloarthritis
#19
Walter P Maksymowych, Stephanie Wichuk, Maxime Dougados, Heather E Jones, Ron Pedersen, Annette Szumski, Lisa Marshall, Jack F Bukowski, Robert G Lambert
OBJECTIVE: To evaluate the impact on structural lesions observed on MRI in the sacroiliac joints (SIJ) at 12 weeks in patients with non-radiographic axial spondyloarthritis (nr-axSpA) receiving etanercept or placebo in EMBARK (Effect of Etanercept on Symptoms and Objective Inflammation in nr-axSpA, a 104 week study). METHODS: Patients were randomised to double-blind etanercept 50 mg/week or placebo for 12 weeks. Structural lesions at baseline and 12 weeks were scored by two independent readers using the Spondyloarthritis Research Consortium of Canada (SPARCC) SIJ structural score (SSS) on T1-weighted MRI...
September 29, 2017: Annals of the Rheumatic Diseases
https://www.readbyqxmd.com/read/28966208/development-and-validation-of-mri-sacroiliac-joint-scoring-methods-for-the-semiaxial-scan-plane-corresponding-to-the-berlin-and-sparcc-mri-scoring-methods-and-of-a-new-global-mri-sacroiliac-joint-method
#20
Pernille Hededal, Mikkel Østergaard, Inge Juul Sørensen, Anne Gitte Loft, Jens S Hindrup, Gorm Thamsborg, Karsten Asmussen, Oliver Hendricks, Jesper Nørregaard, Jakob M Møller, Anne Grethe Jurik, Lone Morsel, Lone Balding, Susanne Juhl Pedersen
OBJECTIVE: To develop semiaxial magnetic resonance imaging (MRI) scoring methods for assessment of sacroiliac joint (SIJ) bone marrow edema (BME) in patients with axial spondyloarthritis, and to compare the reliability with equivalent semicoronal scoring methods. METHODS: Two semiaxial SIJ MRI scoring methods were developed based on the principles of the semicoronal Berlin and Spondyloarthritis Research Consortium of Canada (SPARCC) methods. A global quadrant-based method was also developed...
October 1, 2017: Journal of Rheumatology
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