Radiofrequency Sacroiliac Joint Denervation for Sacroiliac Syndrome

Ferrante, Michael F.; King, Lawrence F.; Roche, Elizabeth A.; Kim, Philip S.; Aranda, Margaret; DeLaney, Leslie R.; Mardini, Issam A.; Mannes, Andrew J.

doi:10.1097/00115550-200103000-00008

Cited by 160 publications

(119 citation statements)

References 20 publications

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“…The thermic sterilization effect minimizes the risk of contamination during the intervention. With respect to the effectiveness in pain reduction, similar results were recently reported by Ferrante et al, who performed RF denervation in 33 patients with sacroiliac joint syndrome [18].…”

Section: Discussionsupporting

confidence: 79%

CT-guided percutaneous radiofrequency denervation of the sacroiliac joint

et al. 2002

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Defining the origin of low back pain is a challenging task. Among a variety of factors the sacroiliac joint (SIJ) is a possible pain generator, although precise diagnosis is difficult. Joint blocks may reduce pain, but are, in cases, of only temporary effect. This study was conducted to evaluate CT-guided percutaneous radiofrequency denervation of the sacroiliac joint in patients with low back pain. The procedure was performed on 38 patients who only temporarily responded to CT-guided SIJ blocks. The denervation was carried out in the posterior interosseous sacroiliac ligaments and on the dorsal rami of the fifth spinal nerve. All interventions were carried out under CT guidance as out-patient therapies. Three months after the therapy, 13 patients (34.2%) were completely free of pain. Twelve patients (31.6%) reported on a substantial pain reduction, 7 patients (18.4%) had obtained a slight and 3 patients (7.9%) no pain reduction. The data of 3 patients (7.9%) was missing. There were no intra- or postoperative complications. Computed tomography-guided percutaneous radiofrequency denervation of the sacroiliac joint appears safe and effective. The procedure may be a useful therapeutic modality, especially in patients with chronic low back pain, who only temporarily respond to therapeutic blocks.

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Section: Discussionsupporting

confidence: 79%

CT-guided percutaneous radiofrequency denervation of the sacroiliac joint

et al. 2002

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“…Several treatments have been advocated by clinicians for SIJ syndrome, although research into their efficacy remains sparse or even nonexistent (Ferrante et al, 2001). Spinal manipulation is an intervention commonly used in the treatment of individuals with LBP and has been reported to be more effective than placebo (Rasmussen, 1979;Postacchini et al, 1988;Wreje et al, 1992;Conway et al, 1993) or other interventions (Koes et al, 1992;Delitto et al, 1993;Erhard et al, 1994;Triano et al, 1995).High-velocity low-amplitude (HVLA) thrust manipulation has been claimed to be one of the most frequently used forms of spinal manipulation (Flynn et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

The effect of two manipulative therapy techniques and their outcome in patients with sacroiliac joint syndrome

Kamali

Shokri

2012

Journal of Bodywork and Movement Therapies

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“…Considered in relation to the neurological supply to the SI joint, the distribution of referred pain could also be related to the myotomes supplied by these nerves. In view of the innervation of the joints, the difference in referred pain between SI joints and L5/S1 zygapophyseal joints appeared to be related to the innervation of the S1, S2 posterior rami [7,8].…”

Section: Discussionmentioning

confidence: 96%

“…The posterior portion of the sacroiliac joint receives innervation from a branch of the S1 and S2 posterior rami [7]. Lumbar zygapophyseal joints receive innervation from the posterior ramus at the same level and from a descending branch of the medial division of the level above [8].…”

Section: Discussionmentioning

confidence: 99%