Abstract
Introduction
Low back pain originates in the sacroiliac joints in 15 to 20% of cases. The special configuration and joint anatomy of the determined morphological suffering throughout life produce a degeneration transformations which can act in extrinsic (trauma and stress) or intrinsic (inflammatory or infectious) factors. The clinical parameters, tests of physical examination, and imaging studies are often nonspecific, causing a big problem at diagnosis.
Objective
This study aims to present the treatment and outcome of patients diagnosed with sacroiliitis on CMIE and Ruber hospital in Madrid, Spain.
Methods
A total of 74 patients with sacroiliitis, in whom 136 were performed diathermocoagulation treatments, frequency of presentation, gender, number of repeat treatment, age, and patient improvement with the Oswestry scale was analyzed and reviewed.
Results
A total of 26 patients with sacroiliitis associated with L4–S1 fusion mainly, average age 55 years, 75.6% female, presentation box pain between 6 and 18 months after the transpedicular fixation, 40% received two diatermocoagulaciones, improvements were reported in scale Oswestry 28%. Sacroiliac fusion is presented as an alternative treatment in cases of difficult management.
Conclusion
The challenge in treating sacroiliitis is to reach a proper diagnosis. The key to achieve maximum effectiveness with these tests and avoid mistakes is to have knowledge of the causes of pain, even as adjacent segment disease and effectiveness of treatments. Sacroiliac fusion is presented as an alternative treatment in cases of difficult management.