Pelvic joint fusion in patients with severe pelvic girdle pain – a prospective single-subject research design study

BMC Musculoskeletal Disorders

Britt Stuge¹  Olav Røise²  Thomas J Kibsgård¹ 

[1] Department of Orthopaedics, Division of Surgery and Clinical Neuroscience, Oslo University Hospital, Sognsvannsveien 20, 0372 Oslo, Norway;Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway

关键词: Pelvic girdle pain;    Surgery;    Arthrodesis;    Pain;    Fusion;    Sacroiliac joint;   

Others  :  1128623
DOI  :  10.1186/1471-2474-15-85

 received in 2013-09-03, accepted in 2014-03-10,  发布年份 2014

【 摘 要 】

Background

The fusion of the pelvic joints in patients with severe pelvic girdle pain (PGP) is a controversial and insufficiently studied procedure. The aims of this study were to evaluate physical function and pain after sacroiliac joint (SIJ) fusion.

Methods

A single-subject research design study with repeated measurements was conducted; pre-operatively and at 3, 6 and 12 months post-operatively. The outcome measures considered were the Oswestry disability index (ODI), visual analogue scale (VAS), and SF-36. Eight patients with severe PGP received open-accessed unilateral anterior SIJ fusion and fusion of the pubic symphysis.

Results

Seven patients reported positive results from the surgery. At 1 year post-operation, significant (p < 0.001) reductions in ODI (54 to 37) and VAS (82 to 57) were reported. The physical functioning, bodily pain, and social functioning scores in the SF-36 were also improved.

Conclusion

Positive and significant changes in disability and pain at 1 year after SIJ fusion were observed. Despite these positive results, open accessed anterior fusion of the SIJ was associated with adverse events and complications such as infection and nerve damage.

【 授权许可】

   
2014 Kibsgård et al.; licensee BioMed Central Ltd.

【 图 表 】

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