title: Fluoroscopy-guided Sacroiliac Joint Steroid Injection for Low Back Pain in a Patient with Osteogenesis Imperfecta.
abstract: BACKGROUND
  Osteogenesis imperfecta, also known as 'brittle bone disease', is a genetic connective tissue disease. It is characterized by bone fragility and osteopenia (low bone density). In this case, a 57-year old female presented to the University Hospital of the West Indies (UHWI), Physical Medicine and Rehabilitation Clinic with left low back pain rated 6/10 on the numeric rating scale (NRS). Clinically, the patient had sacroiliac joint mediated pain although X-rays did not show the sacroiliac joint changes. Fluoroscopy-guided left sacroiliac joint steroid injection was done.
  
  
  METHODS
  Numeric rating scale and Oswestry Disability Index (ODI) questionnaire were used to evaluate outcome. This was completed at baseline, one week follow-up and at eight weeks post fluoroscopy-guided sacroiliac joint steroid injection.
  
  
  RESULTS
  Numeric rating scale improved from 6/10 before the procedure to 0/10 post procedure, and ODI questionnaire score improved from a moderate disability score of 40% to a minimal disability score of 13%. Up to eight weeks, the NRS was 0/10 and ODI remained at minimal disability of 15%.
  
  
  CONCLUSIONS
  Fluoroscopy-guided sacroiliac joint injection is a known diagnostic and treatment method for sacroiliac joint mediated pain. To our knowledge, this is the first case published on the use of fluoroscopy-guided sacroiliac joint steroid injection in the treatment of sacroiliac joint mediated low back pain in a patient with osteogenesis imperfecta.
authors.affiliation: Physical Medicine and Rehabilitation, Faculty of Medical Sciences, The University of the West Indies, Kingston 7, Jamaica, West Indies. paula.dawson@uwimona.edu.jm.
authors.forename: P U
authors.initials: PU
authors.lastname: Dawson
authors.affiliation: Division of Orthopaedics, Department of Surgery, Radiology, Anaesthesia and Intensive Care, The University of the West Indies, Kingston 7, Jamaica, West Indies.
authors.forename: R E
authors.initials: RE
authors.lastname: Rose
authors.affiliation: Physical Medicine and Rehabilitation, Faculty of Medical Sciences, The University of the West Indies, Kingston 7, Jamaica, West Indies.
authors.forename: N A
authors.initials: NA
authors.lastname: Wade