Open AccessModified Fluoroscopy‐Guided Sacroiliac Joint Injection: A Technical Report
Author(s) -
Liliang PoChou,
Liang ChengLoong,
Lu Kang,
Weng HuiChing,
Syu FeiKai
Publication year - 2014
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1111/pme.12492
Subject(s) - fluoroscopy , sacroiliac joint , superimposition , oblique case , joint (building) , medicine , line (geometry) , radiology , computer science , artificial intelligence , geometry , mathematics , architectural engineering , linguistics , philosophy , engineering
Background and Objective Sacroiliac joint ( SIJ ) injection can occasionally be challenging. We describe our experience in using conventional technique, and we developed an adjustment to overcome difficulties incurred. Methods Conventional technique required superimposition of the posterior and anterior SIJ lines. If this technique failed to provide entry into the joint, fluoroscopy was slightly adjusted to obtain an oblique view. Results Of 50 SIJ injections, 29 (58%; 44–72%) were successfully performed using conventional technique. In another 21 procedures, 18 (85.7%; 64–99%) were subsequently completed using oblique view technique. The medial joint line, viewed from this angle, corresponded to the posterior joint line in 17 cases. The lateral joint line corresponded to the posterior joint line in one case. Conclusions Oblique view technique can improve the success rate of SIJ injection.