RSNA 2014 

Abstract Archives of the RSNA, 2014


VSPD21-08

Feasibility of Ultrasound-guided Sacroiliac Joint Injections in Children Presenting with Sacroiliitis

Scientific Papers

Presented on December 1, 2014
Presented as part of VSPD21: Pediatric Series: MSK  

Participants

Mohamed Mahmoud Hamdy Abd Ellah MD, Presenter: Nothing to Disclose
Michaela Sailer Hoeck MD, Abstract Co-Author: Nothing to Disclose
Juergen Brunner MD, PhD, Abstract Co-Author: Nothing to Disclose
Christian Siedentopf MD, Abstract Co-Author: Nothing to Disclose
Gudrun Feuchtner MD, Abstract Co-Author: Nothing to Disclose
Mihra S. Taljanovic MD, Abstract Co-Author: Nothing to Disclose
Fabian Plank MD, Abstract Co-Author: Nothing to Disclose
Werner R. Jaschke MD, PhD, Abstract Co-Author: Nothing to Disclose
Andrea Klauser MD, Abstract Co-Author: Nothing to Disclose

PURPOSE

To evaluate feasibility and effectiveness of ultrasound guided sacroiliac joint injection in the treatment of sacroiliitis in pediatric patients 

METHOD AND MATERIALS

In thirteen patients (7 females and 6 males), 9-16 years (mean +/- std 11.39 +/- 1.98), eighteen SI joint injections were performed under US guidance. All patients suffered from severe sacroiliitis. US scanning was performed using a linear-array transducer operating at 5-18 MHz. Rating of the patients pain using a 0-10 dolorimetry scale on a visual analog score (VAS) was recorded before, immediately after, and 3months after injection to monitor severity and therapeutic response 

RESULTS

Injection could be performed in all patients without complication showing good response immediately and 3 months after injection with a decrease of the VAS from (mean +/- std 9.44 +/- 1.097, to 3.89 +/- 3.82, p <0.001, and to 0.56 +/- 1.097, p <0.05) respectively was noted

CONCLUSION

US guided SI joint injection was feasible in all children, relatively quick and easy to perform and appeared effective in the treatment of pediatric patients with sacroiliitis 

CLINICAL RELEVANCE/APPLICATION

Dealing with sacroiliitis, US guided sacroiliac joint injection in the pediatric patients showed easy, safe, relatively fast, and effective treatment option.

Cite This Abstract

Abd Ellah, M, Hoeck, M, Brunner, J, Siedentopf, C, Feuchtner, G, Taljanovic, M, Plank, F, Jaschke, W, Klauser, A, Feasibility of Ultrasound-guided Sacroiliac Joint Injections in Children Presenting with Sacroiliitis.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14008857.html