BACKGROUND Sacroiliac (SI) joint pain is a prevalent, underdiagnosed cause of lower back pain. SI joint fusion can relieve pain and improve quality of life in patients who have failed nonoperative care. To date, no study has concurrently compared surgical and non-surgical treatments for chronic SI joint dysfunction. METHODS We conducted a prospective randomized controlled trial of 148 subject...

STUDY DESIGN  Systematic reviewObjective: To compare the safety and effectiveness of fusion versus denervation for chronic sacroiliac joint pain after failed conservative management. SUMMARY OF BACKGROUND  METHODS of confirming the sacroiliac joint as a pain source have been extensively studied and reported in the literature. After confirmation of the origin of the pain by positive local anes...

OBJECTIVE The purpose of this study was to determine the incidence and severity of arthrographic pain after intraarticular injection of a gadolinium mixture diluted in normal saline for direct MR arthrography. SUBJECTS AND METHODS From March 2009 until January 2010, 155 consecutive patients underwent direct MR arthrography; 20 patients were lost to follow-up. Patients were contacted by teleph...

abstract   background: different methods of surgical treatment for acromioclavicular(ac) joint injury were considered in the literature. the purpose of the study was to compare intra- articular ac repair technique with the extra-articular coracoclavicular repair technique for the patients with rockwood type iii and vac joint injury when indicated.   methods: nineteen consecutive patients with r...

STUDY DESIGN Consecutive case series cohort. OBJECTIVE To determine the relative frequencies of the spine, the sacroiliac (SI) joint, and the hip joint being the primary pain generator among patients presenting at a spine surgery clinic for low back pain (LBP). SUMMARY OF BACKGROUND DATA Identification of the primary pain generator in a patient with LBP is difficult. Possible pain sources i...