title: Fluoroscopy-guided Intra-articular Sacroiliac Joint Steroid Injection for Sacroiliitis in Ankylosing Spondylitis: A Case Report.
abstract: Sacroiliitis, a condition commonly seen in Ankylosing Spondylitis, is well known to be one of the main pain generators of low back pain, which may result in difficulty with walking. A 20-year old male with history of ankylosing spondylitis presented to the University Hospital of the West Indies, Physical Medicine and Rehabilitation clinic, with a two-year history of right buttock, low back and groin pain. Radiographic evaluation revealed increased sclerosis and erosive changes in bilateral sacroiliac joints, right greater than left. Right intra-articular sacroiliac joint steroid injection was administered under fluoroscopy guidance. Post-injection visual analogue pain scale (VAS) score with activity improved from 8 to 1 and Oswestry Disability Index improved from 40% moderate disability to 16% minimal disability. The patient's overall assessment was 95% perceived improvement in pain. This case report illustrates the effectiveness of intra-articular sacroiliac joint steroid injection in treating sacroiliitis in ankylosing spondylitis.
authors.affiliation: Physical Medicine and Rehabilitation, Faculty of Medical Sciences, the University of the West Indies, Kingston 7, Jamaica. paula.dawson@uwimona.edu.jm.
authors.forename: P Ua
authors.initials: PU
authors.lastname: Dawson
authors.affiliation: Physical Medicine and Rehabilitation, Faculty of Medical Sciences, the University of the West Indies, Kingston 7, Jamaica.
authors.forename: N A
authors.initials: NA
authors.lastname: Dewar
authors.affiliation: Kingston Public Hospital, North Street, Kingston, Jamaica.
authors.forename: D
authors.initials: D
authors.lastname: Tulloch-Reid