A COMPARATIVE STUDY OF SACROILIAC JOINT RADIOFREQUENCY DENERVATION WITH INTRA ARTICULAR SACROILIAC STEROID INJECTION IN PATIENTS WITH SACROILIAC JOINT DYSFUNCTION.

Abstract

Introduction:To compare and evaluate the efcacy of sacroilliac joint radiofrequency denervation with intra articular sacroiliiac steroid injection in patients of sacroiliiac joint dysfunction as evidence by relief of pain, decrease in analgesic requirement and complications. After clearance from institutional review committee weMethod: included 60 patients in study. Patients were divided in two groups. Group I undergone intraarticular injection and another, radiofrequency denervation of sacroiliac joint.Patient with low back pain with or without leg pain> 3months,ASA 1&2,age group 20-60 years, low back pain below L5 dermatome,tenderness over posterior superior iliac spine, positive faber, Yheomen,Ganeslens and local anaesthetic diagnostic test were included while patient with history of lumbar radicular pain of discogenicorigin,RA, Ankylosing spondylitis, Spondylolisthesis, Vertebral compression or fractures were excluded Results: During pretreatment mean VAS score between two groups, there was no signicant difference (p=0.142).After management ;3 month - no signicant difference between two groups. However, there was signicant difference between two groups at 6months (p=0.022),12 months (p=0.06) and 18 months (p=0.012). Radiofrequncy denervation of sacroiliac joint is best inConclusion: terms of long term pain relief, better functional improvement and minimum side effects