title: Middle-term therapeutic effect of the sacroiliac joint blockade in patients with lumbosacral fusion-related sacroiliac pain.
abstract: OBJECTIVE
  The aim of this study was to compare the therapeutic effect of sacroiliac (SI) blockade in patients with and without lumbosacral fusion.
  
  
  METHODS
  This study included 72 patients diagnosed with SI pain and who received blockade injection (methylprednisolone and lidocaine). Patients were divided into 2 groups; 22 patients in the fusion group who underwent previous lumbosacral fusion and 50 patients in the non-fusion group. Average follow-up was 17.7 (range: 6 to 30) months. All patients were evaluated before and after intervention using the Visual Analog Scale (VAS), Oswestry Disability Index, Rivermead Mobility Index and SF-36. Results were statistically analyzed.
  
  
  RESULTS
  Activity pain (a component of VAS) was significantly better in the non-fusion group than the fusion group (p=0.042). No other statistically significant differences were observed between groups (p>0.05).
  
  
  CONCLUSIONS
  Sacroiliac blockade has a similar therapeutic effect on patients who underwent lumbosacral fusion surgery as on non-operated patients in the middle-term. Therefore, alternative treatment options are not necessary in patients with fusion.
authors.affiliation: School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey.
authors.forename: Nihal
authors.initials: N
authors.lastname: Büker
authors.affiliation: Department of Orthopedics and Traumatology, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors.forename: Semih
authors.initials: S
authors.lastname: Akkaya
authors.affiliation: Department of Orthopedics and Traumatology, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors.forename: Oğuzhan
authors.initials: O
authors.lastname: Gökalp
authors.affiliation: School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Kıtış
authors.affiliation: School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey.
authors.forename: Raziye
authors.initials: R
authors.lastname: Savkın
authors.affiliation: Department of Orthopedics and Traumatology, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors.forename: A Esat
authors.initials: AE
authors.lastname: Kıter
mesh_terms: D000328:Adult; D000368:Aged; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D007270:Injections, Intra-Articular; D017116:Low Back Pain / Q000209:etiology / Q000628:therapy*; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage; D008875:Middle Aged; D009407:Nerve Block; D010147:Pain Measurement; D011446:Prospective Studies; D011788:Quality of Life; D012446:Sacroiliac Joint; D013123:Spinal Fusion / Q000009:adverse effects*
chemical_list: D000893:Anti-Inflammatory Agents; D008775:Methylprednisolone