[Assessing the treatment for sacroiliac joint dysfunction, piriformis syndrome and tarsal tunnel syndrome associated with lumbar degenerative disease].
OBJECTIVE
Sacroiliac joint (SIJ) dysfunction, piriformis syndrome (PFS) and tarsal tunnel syndrome (TTS) produce symptoms similar to lumbar degenerative disease (LDD). Patients who have these diseases plus LDD sometimes experience residual symptoms after surgery for LDD. We therefore assessed the results of treatment of SIJ dysfunction, PFS and TTS associated with LDD.


METHODS
We assessed 25 patients who underwent surgery for LDD and were affected with SIJ dysfunction (12 patients), PFS (7 patients) or TTS (6 patients). SIJ dysfunction was treated with rest, drugs, pelvic band and sacroiliac joint block. PFS was treated with rest, drugs, physical exercise, injection of local anesthetic into the piriformis muscle, and surgical resection of the piriformis muscle. TTS was treated with drugs and tarsal tunnel opening. We analyzed the improvement score and recovery rate (JOA score) for both LDD surgery and the treatment of SIJ dysfunction, PFS and TTS.


RESULTS
Symptom improvement was observed in all patients with SIJ dysfunction and PFS and in 4 patients with TTS. The improvement score and recovery rate of treatments for SIJ dysfunction, PFS and TTS were lower than those of surgery for LDD.


CONCLUSIONS
The improvement score and recovery rate of treatment for SIJ dysfunction, PFS and TTS were not as high as those for LDD. To enhance patient satisfaction, it is important to consider these complicating diseases when designing treatments for LDD.
Morimoto
Daijiro
D
Department of Neurosurgery, Kushiro Rosai Hospital, 13-23 Nakazono-cho, Kushiro-city, Hokkaido 085-8533, Japan.
Isu
Toyohiko
T
Shimoda
Yuusuke
Y
Hamauchi
Shuuji
S
Sasamori
Tooru
T
Sugawara
Atsushi
A
Kim
Kyongsong
K
Matsumoto
Ryouji
R
Isobe
Masanori
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000209:etiology* / Q000601:surgery; D007592:Joint Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery / Q000628:therapy; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D055958:Piriformis Muscle Syndrome / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D012446:Sacroiliac Joint; D013641:Tarsal Tunnel Syndrome / Q000150:complications* / Q000175:diagnosis / Q000628:therapy