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- Title
Clinical Features Requiring Sacroiliac Joint Arthrodesis in Patients with Sacroiliac Joint Pain.
- Authors
Daisuke Kurosawa; Eiichi Murakami; Toshimi Aizawa; Takashi Watanabe
- Abstract
Purpose : This study aimed to reveal the clinical features requiring sacroiliac joint (SIJ) arthrodesis, which was performed for patients who complain of severe SIJ pain. Methods : The differences in clinical features between a surgical treatment group (n = 20) and a conservative treatment group (n = 66) were investigated. All patients were definitively diagnosed with SIJ pain by the use of SIJ injections. Results : Six significant features were identified in the surgical treatment group, namely, sitting tolerance (<15 minutes), walking with a cane, pain in the supine position, pain while lying on the painful side, numbness in the lower limbs, and any accident that induced SIJ pain (P<0.01). Univariate logistic regression analysis revealed that sitting tolerance <15 minutes (odds ratio : 31.73), pain in the supine position (13.07), and pain while lying on the painful side (18.30) showed a high odds ratio. Conclusions : Sitting tolerance (<15 minutes), walking with a cane, pain in the supine position, pain while lying on the painful side, numbness in the lower limbs, and a history of any accident that induced SIJ pain may be considered as indicators for surgery after >6 months of continued substantial conservative treatment.
- Subjects
SACROILIAC joint diseases; ARTHRODESIS; JOINT pain; LOGISTIC regression analysis; CLINICAL trials
- Publication
Journal of Medical Investigation, 2023, Vol 70, Issue 1/2, p123
- ISSN
1343-1420
- Publication type
Article
- DOI
10.2152/jmi.70.123