Modified fluoroscopy-guided sacroiliac joint injection: A technical report

Po Chou Liliang, Cheng Loong Liang, Kang Lu, Hui Ching Weng, Fei Kai Syu

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

Abstract

Background and Objective: Sacroiliac joint (SIJ) injection can occasionally be challenging. We describe our experience in using conventional technique, and we developed an adjustment to overcome difficulties incurred. Methods: Conventional technique required superimposition of the posterior and anterior SIJ lines. If this technique failed to provide entry into the joint, fluoroscopy was slightly adjusted to obtain an oblique view. Results: Of 50 SIJ injections, 29 (58%; 44-72%) were successfully performed using conventional technique. In another 21 procedures, 18 (85.7%; 64-99%) were subsequently completed using oblique view technique. The medial joint line, viewed from this angle, corresponded to the posterior joint line in 17 cases. The lateral joint line corresponded to the posterior joint line in one case. Conclusions: Oblique view technique can improve the success rate of SIJ injection.

Original languageEnglish
Pages (from-to)1477-1480
Number of pages4
JournalPain Medicine (United States)
Volume15
Issue number9
DOIs
Publication statusPublished - 2014 Jan 1

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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