title: CT-guided percutaneous radiofrequency denervation of the sacroiliac joint.
abstract: Defining the origin of low back pain is a challenging task. Among a variety of factors the sacroiliac joint (SIJ) is a possible pain generator, although precise diagnosis is difficult. Joint blocks may reduce pain, but are, in cases, of only temporary effect. This study was conducted to evaluate CT-guided percutaneous radiofrequency denervation of the sacroiliac joint in patients with low back pain. The procedure was performed on 38 patients who only temporarily responded to CT-guided SIJ blocks. The denervation was carried out in the posterior interosseous sacroiliac ligaments and on the dorsal rami of the fifth spinal nerve. All interventions were carried out under CT guidance as out-patient therapies. Three months after the therapy, 13 patients (34.2%) were completely free of pain. Twelve patients (31.6%) reported on a substantial pain reduction, 7 patients (18.4%) had obtained a slight and 3 patients (7.9%) no pain reduction. The data of 3 patients (7.9%) was missing. There were no intra- or postoperative complications. Computed tomography-guided percutaneous radiofrequency denervation of the sacroiliac joint appears safe and effective. The procedure may be a useful therapeutic modality, especially in patients with chronic low back pain, who only temporarily respond to therapeutic blocks.
authors.affiliation: Department of Radiology and Microtherapy, Groenemeyer Institut of MicroTherapy, University of Witten/Herdecke, Universitätsstrasse 142, 44799 Bochum, Germany. gevargez@microtherapy.de
authors.forename: A
authors.initials: A
authors.lastname: Gevargez
authors.forename: D
authors.initials: D
authors.lastname: Groenemeyer
authors.forename: S
authors.initials: S
authors.lastname: Schirp
authors.forename: M
authors.initials: M
authors.lastname: Braun
mesh_terms: D000328:Adult; D000368:Aged; D003714:Denervation / Q000379:methods*; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012446:Sacroiliac Joint / Q000000981:diagnostic imaging / Q000294:innervation*; D014057:Tomography, X-Ray Computed