Chronic sacroiliac joint dysfunction and CT-guided percutaneous fixation: a 6-year experience

PurposeReporting the clinical outcomes, patient satisfaction, and complications following an imaging-guided percutaneous screw fixation in the treatment of sacroiliac joint dysfunction and evaluating the safety and effectiveness of this method.MethodsWe performed a retrospective study on a prospectively gathered cohort of patients with physiotherapy-resistant pain due to sacroiliac joint incompetence that underwent percutaneous screw fixation, between 2016 and 2022 in our center. A minimum of two screws were used in all patients to obtain fixation of the sacroiliac joint, using percutaneous screw insertion under CT guidance, coupled with a C-arm fluoroscopy unit.ResultsThe mean visual analog scale significantly improved at 6 months of follow-up (p < 0.05). One hundred percent of the patients reported significant improvement in pain scores at the final follow-up. None of our patients experienced intraoperative or postoperative complications.ConclusionThe use of percutaneous sacroiliac screws provides a safe and effective technique for the treatment of sacroiliac joint dysfunction in patients with chronic resistant pain.

Automated summary

This study retrospectively analyzed the clinical outcomes, patient satisfaction, and complications of a group of patients with sacroiliac joint dysfunction who received percutaneous screw fixation under imaging guidance, and evaluated the safety and effectiveness of this method. The results showed that the visual analog scale significantly improved at 6 months of follow-up, and 100% of the patients reported significant improvement in pain scores at the final follow-up. No intraoperative or postoperative complications were observed.