Management of Sacroilitis by intra-articular steroid injection

Abstract

Introduction:Sacroilitis, a common feature of spondyloarthropathies, is an inflammation of one or both of sacroiliac joints. Etiologies include Ankylosing spondylitis, sacroiliac arthritis, osteitis condensansilii, gout, osteoarthritis, tumors, trauma, pregnancy, septic arthritis and brucellosis.Methods:The study was conducted in the Department of Orthopaedics, Rohilkhand Medical College and Hospital from November 2018 to October 2019 after seeking clearance from the Institutional Ethical Committee.The aim of the study was to assess the functional outcome of Intra-articular Steroid Injection in management of Sacroilitis.Results:All the patients enrolled in the study showed difference in the pre-injection and post-injection visual analog scale (VAS) and oswestry disability index (ODI) observed at Day 3 (3.10+1.707) [22+6.485], at 2 weeks (1.66+1.236)[13.16+6.619] and at 1 month (1.11+0.319)[10.56+2.323] which was found to be highly statistically significant (P<0.01).  Conclusion: Fluoroscopy-guided intra-articular corticosteroid injection in the SIJ found to be an effective therapy in patients with Sacroilitis, since most of the patients (84%) got relief from single intra-articular injection only. Therapeutic use of injection has been shown to have a positive impact on the outcome as patient's pain level (VAS) which was assessed and documented and there was also an improvement in the Oswestry disability index (ODI) due to relieve of pain. No post-operative pain or synovitis were reported.