Questions of pathogenesis, diagnosis and treatment of dysfunction of the sacroiliac joint

Authors

  • Антон Викторович Яриков City clinical hospital No. 39, 144, Moscow highway, Nizhny Novgorod, 603028, Russian Federation
  • Игорь Игоревич Смирнов City clinical hospital No. 39, 144, Moscow highway, Nizhny Novgorod, 603028, Russian Federation ;Privolzhsky Research Medical University, 10/1, Minin and Pozharsky square, Nizhny Novgorod, 603005, Russian Federation
  • Ольга Александровна Перльмуттер City clinical hospital No. 39, 144, Moscow highway, Nizhny Novgorod, 603028, Russian Federation ; Privolzhsky Research Medical University, 10/1, Minin and Pozharsky square, Nizhny Novgorod, 603005, Russian Federation
  • Александр Петрович Фраерман City clinical hospital No. 39, 144, Moscow highway, Nizhny Novgorod, 603028, Russian Federation ; Privolzhsky Research Medical University, 10/1, Minin and Pozharsky square, Nizhny Novgorod, 603005, Russian Federation
  • Александр Евгеньевич Симонов City clinical hospital No. 39, 144, Moscow highway, Nizhny Novgorod, 603028, Russian Federation

DOI:

https://doi.org/10.21638/11701/spbu11.2018.406

Abstract

Chronic pain syndrome is the most common cause of disability in the working population.Pathology of sacroiliac articulation is a source of pain in 10–30 % of patients in the lower back. his publication describes the anatomy and physiology of the sacroiliac joint. The innervation of this joint is described in detail. The causes and pathogenesis of dysfunction of the sacroiliac joint are described. Also, the authors of the work thoroughly studied the clinical picture of the lesion of this joint. The diagnosis of dysfunction of the sacroiliac joint is studied in detail,where special attention is paid to diagnostic intraarticular blockades and provocative tests. The article presents a wide range of provocation tests: compression, distraction, Patrick, Hansley, Bonn, Jomana, Gate, and detailed the technique of their execution. Modern methods of treatment are widely presented: conservative, interventional (intra-articular and extra-articular injections of steroids) and minimally invasive. Special attention is paid to the high-frequency denervation of the sacroiliac joint, which describes the technique of this procedure and the criteria for selecting patients for its implementation. The algorithm of treatment of this pathology and technique of invasive interventions is described in detail below. In conclusion, the authors suggest the more frequent use of interventional and minimally invasive methods of treatment in the pathology of the sacroiliac joint.

Keywords:

the sacroiliac joint, denervation of the joint, provocative tests, intraarticular injection, joint block, dysfunction of the joint

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References

Литература

Кравец Л. Я., Истрелов А. К., Боков А. Е. Малоинвазивные технологии в лечении вертеброгенных болевых синдромов различной этиологии // Нижегород. вед. мед. 2008. №8. С. 17–21.

Коновалов А. Н., Прошутинский С. Д., Назаренко А. Г., Королишин В. А. Радиочастотная денервация межпозвоночных суставов при лечении фасеточного синдрома // Вопр. нейрохир.им. Н. Н. Бурденко. 2011. Т. 75, №2. С. 51–56.

Тюликов К. В., Мануковский В. А., Литвиненко И. В., Коростелёв К. Е., Бадалов В. И. Минимально инвазивные методы лечения болевого и корешкового синдрома, вызванных дегенеративно-дистрофическими заболеваниями поясничного отдела позвоночника // Вест. Росс. ВМедА. 2013. № 1 (41). С. 69–75.

Назаренко Г. И., Черкашов А. М., Шевелев И. Н., Кузьмин В. И., Коновалов Н. А., Назаренко А. Г.,Асютин Д. С., Горохов М. А., Шарамко Т. Г. Эффективность одномоментного выполнения микродискэктомии и радиочастотной денервации межпозвонковых суставов в сравнении с микродискэктомией у пациентов с грыжами межпозвонковых дисков пояснично-крестцового отдела позвоночника // Вопр. нейрохирург. им. Н. Н. Бурденко. 2014. Т. 78, № 6. С. 4–8.

Ченский А. Д., Слиняков Л. Ю., Черепанов В. Г., Терновой К. С. Диагностика и лечение синдрома крестцово-подвздошного сустава // Кафедра травматологии и ортопедии. 2015. № 2. С. 12–16.

Irwin R. W., Watson T., Minick R. P., Ambrosius W. T. Age, body mass index, and gender differences in sacroiliac joint pathology // Am. J. Phys. Med. Rehabil 2007. Vol. 86. P. 37–44.

Гелашвили Н. Т., Рухадзе М. М. Диагностическое значение определения подвижности крестцово-подвздошного сочленения при мануальной терапии остеохондроза позвоночника // Инновационные оздоровительные и реабилитационные технологии: материалы Всеросс. науч.-практ. конф. с междунар. участием / под ред. Д. В. Воробьева, Н. В. Тимушкиной. 2016. С. 13–17.

Носков С. М., Широкова Л. Ю., Лаврухин В. В., Паруля О. М., Голикова Ю. В. Интервенционные манипуляции на крупных суставах при остеоартрозе // Мед. визуализация 2009. № 4.С. 72–75.

Исайкин А. И., Кузнецов И. В., Кавелина А. В., Иванова М. А. Неспецифическая люмбалгия: причины, клиника, диагностика, лечение // Неврол., нейропсихиат., психосомат. 2015. Т. 7, № 4.С. 101–109.

Rupert M. P., Lee M., Manchikanti L., Datta S., Cohen S. P. Evaluation of sacroiliac joint interventions: a systematic appraisal of literature // Pain physician. 2009. Vol. 12. P. 399–418.

Ситель А. Б. Мануальная терапия спондилогенных заболеваний. Учеб. пособие для слушателей системы послевузовского профессионального образования врачей. М., 2008.

Евзиков Г. Ю., Егоров О. Е., Розен А. И. Радиочастотная денервация в лечении болевого синдрома при патологии крестцово-подвздошного сочленения // Нейрохирур. 2015. № 2. С. 80–85.

Холодов С. А. Транскутанное протезирование синовиальной жидкости в суставе при спондилоартрозе поясничного отдела позвоночника // Нейрохирур. 2014. № 3. С. 50–54.

McGrath M. C., Zhang M. Lateral branches of dorsal sacral nerve plexus and the long posterior sacroiliac ligament // Surg. Radiol. Anat. 2005. Vol. 27. P. 327–330.

Singla V., Batra Y., Bharti N., Goni V., Marwaha N. Steroid versus Platelet-Rich Plasma in Ultrasound-Guided Sacroiliac Joint Injection for Chronic Low Back Pain // Pain Practice. 2016. https://doi.org/10/1111/papr.12526

Кузнецов А. В., Древаль О. Н., Рынков И. П., Чагава Д. А., Закиров А. А. Лечение болевого фасет-синдрома у пациентов, перенесших микродискэктомию // Вопр. нейрохирург. им. Н. Н. Бурденко. 2011. Т. 75, № 2. С. 56–61.

Слободин Т. Н. Cакроилеиты. Диагностические капканы // Междунар. неврол. журн. 2016.№ 7 (85). С. 99–104.

Laslett M. Evidence-based diagnosis and treatment of the painful sacroiliac joint // J. Manual Manipulative Ther. 2008. Vol. 16. P. 142–152.

Ахметов Б. Х., Максимов Ю. Н. Роль патологии крестцово-подвздошного сустава в развитии болей в нижней части спины. Практич. мед. 2013. № 1 (66). С. 27–30.

Slimon C. W., Jackson H. B., Lipetz J. S. et al. Sacroiliac joint pain referral zones // Arch. Phy. Med. Rehabil. 2000. Vol. 81. P. 334–338.

Fortin J. D., Dwyer A. P., West S. et al. Sacroiliac joint: pain referral maps upon applying a new injection/arthrography technique. Part I: asymptomatic volunteers // Spine 1994. Vol. 19, iss. 13. P. 1475–1482.

Kurosawa D., Murakami E., Aizawa T. Referred pain location depends on the affected section of the sacroiliac joint // EurSpine J. 2015. Mar. Vol. 24, iss. 3. P. 521–527. DOI: 10.1007/s00586-014-3604-4

McGrath C., Nicholson H., Hurst P. The long posterior sacroiliac lingament: a histological study of morphological relations in the posterior sacroiliac region // Join Bone Spine. 2009. Vol. 79. P. 57–62.

Szadek K. M., Hoogland P. V., Zuurmond W. W. et al. Possible nociceptive structures in the sacroiliac joint cartilage: an immunohistochemical study // Clin. Anat. 2010. Vol. 23. P. 192–198.

Ivanom A. A., Kiapour A., Ebraheim N. A. et al. Lumbag fusion leeds to increases in angular morion and stress cross sacroiliac joint // Spine. 2009. Vol. 34. P. 162–169.

Huijbregts P. Sacroiliac joint dysfunction: evidence-based diagnosis // Reh. Med. 2004. Vol. 8. P. 14–37.

Волков И. В., Карабаев И. Ш., Патрахин И. В., Поярков К. А., Хлебов В. В. Применение интервенционных методов лечения боли при дегенеративно-дистрофических заболеваниях позвоночника. Первый опыт // Нейрохирур. 2015. № 2. С. 98–99.

Волков И. В., Карабаев И. Ш., Алексанин С. С. Биологическая и радиационная безопасность пациентов при интервенционных и минимально-инвазивных вмешательствах при заболеваниях и травмах позвоночника: опыт отделения нейрохирургии Всерос. центра экстр. и радиац. мед. им. А. М. Никифорова МЧС России // Медико-биологические и социально-психологические проблемы безопасности в чрезвычайных ситуациях. 2017. № 3. С. 38–46. DOI: 10.25016/2541-7487-2017-0-3-38-46.

Фищенко Я. В., Белая И. И., Кудрин А. П. Диагностика синдромов крестцово-подвздошных суставов // Боль. Суставы. Позвоночник. 2016. № 4 (24). С. 18–23.

Polsunas P., Sowa G., Fritz J. et al. Deconstructing Chronic Low Back Pain in the Older Adult-Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment // Part X: Sacroiliac Joint Syndrome // Pain Med. 2016. Vol. 17, iss. 9. P. 1638–1647. DOI: 10.1093/pm/pnw151

Чамокова Б. Б. Магнитно-резонансная томография в ранней диагностике сакроилеитов // Радиология — практика. 2009. № 1.С. 25–33.

Исайкин А. И., Давыдов О. С., Кавелина А. В., Иванова М. А. Проблема спондилоартроза. Взгляд невролога // Эффективная фармакотерапия. 2017. № 38. С. 28–41.

Игнатова А. В. Опыт применения препарата хондрогард в составе лечебно-медикаментозных блокад в лечении фасеточного синдрома и дисфункции крестцово-подвздошного сочленения в амбулаторных условиях // РМЖ. 2013. Т. 21, № 10. С. 524–526.

Chou R.Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society. // An. Intern. Med. 2007. Vol. 7(147). P. 478.

Бывальцев В. А., Калинин А. А., Оконешникова А. К. Анализ клинической эффективности применения фасетопластики при лечении фасет-синдрома в поясничном отделе позвоночника у пациента пожилого и старческого возраста // Успехи геронтол. 2017. Т. 30, №1. С. 84–91.

Manchikanti L., Abdi S., Atluri S. et al. An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations // Pain Physician. 2013. Vol. 16, no. 2. Suppl. P. S49–S283.

Singla V., Batra Y., Bharti N., Goni V., Marwaha N. Steroid versus Platelet-Rich Plasma in Ultrasound-Guided Sacroiliac Joint Injection for Chronic Low Back Pain // Pain Practice. 2016 (onlinelibrary.wiley.com). DOI: 10.1111/papr.12526

Cohen S. P., Hurley R. W, Buckenmaier C. C. 3rd et al. Randomized placebo-controlled study evaluating lateral branch radiofrequency denervation for sacroiliac joint pain // Anesthesiol. 2008. Vol. 109, iss. 2.P. 279–288.

Cohen S. P., Strassels S. A., Kurihara C. et al. Outcome predictors for sacroiliac joint (lateral branch)radiofrequency denervation // Reg. Anesth. Pain Med. 2009. Vol. 34, iss. 3. P. 206–214.

Певзнер К. Б., Евзиков Г. Ю. Чрескожная радиочастотная деструкция суставных нервов как метод выбора в лечении поясничных болей // Неврол. журн. 2006. Т. 11, № 2. С. 45–49.


References

Kravets L. Ya., Istrelow A. C., Bokov A. E. Maloinvazivnye tekhnologii v lechenii vertebrogennykh bolevykh sindromov razlichnoi etiologii [Minimally Invasive technologies in the treatment of vertebrogenic pain syndromes of different etiology]. Nizhegorodskie vedomosti meditsiny [Bull. Nizhny Novgorod med.], 2008, no. 8, pp. 17–21. (In Russian)

Konovalov A. N., Proshutinsky S. D., Nazarenko A. G., Korolyshyn V. A. Radiochastotnaia denervatsiia mezhpozvonochnykh sustavov pri lechenii fasetochnogo sindroma [Radiofrequency denervation of intervertebral joints in the treatment of facet syndrome].Voprosy neirohirurgii im. N. N. Burdenko [N. N. Burdenko Quest. neurosurg],2011, vol. 75, no. 2, pp. 51–56. (In Russian)

Tulikov K. V., Manukovsky V. A., Litvinenko I. V., Korostelev, K. E., Badalov V. I. Minimal’no invazivnye metody lecheniya bolevogo i koreshkovogo sindroma, vyzvannyh degenerativno-distroficheskimi zabolevaniyami poyasnichnogo otdela pozvonochnika. Minimally invasive treatment of pain syndrome,radicular syndrome, caused by degenerative-dystrophic diseases of the lumbar spine. Vestn. Ross. voenno-med. akademii [Vestn. Russ. military med. Acad.], 2013, no. 41. P. 69–75. (In Russian)

Nazarenko G. I., Cherkashov A. M., Shevelev I. N., Kuzmin V. I., Konovalov N. A., Nazarenko A. G., Asutin D. S., Gorokhov M. A., Shramko T. G. Efficiency simultaneously perform a microdiscectomy and radiofrequency denervation of intervertebral joints in comparison to microdiscectomy in patients with discal hernia of the lumbar-sacral spine. N. N. Burdenko Quest. neurosurg., 2014. Vol. 78, no. 6, pp. 4–8. (In Russian)

Chensky A. D., Slunakov L. Y., Cherepanov V. G., Ternovoy K. S. Diagnostika i lechenie sindroma kresttsovo-podvzdoshnogo sustava [Diagnosis and treatment of the syndrome sacroiliac joint]. Kafedra travmatologii i ortopedii [Depart. traumatol. and orthoped], 2015, no. 2, pp. 12–16. (In Russian)

Irwin R. W., Watson T., Minick R. P., Ambrosius W. T. Age, body mass index, and gender differences in sacroiliac joint pathology. Am. J. Phys. Med. Rehabil., 2007, vol. 86, pp. 37–44.

Gelashvili N. T., Rukhadze M. M. Diagnosticheskoe znachenie opredeleniia podvizhnosti kresttsovopodvzdoshnogo sochleneniia pri manual’noi terapii osteokhondroza pozvonochnika [Diagnostic value of determining the mobility of sacroiliac joint in manual therapy of spinal osteochondrosis].Innovatsionnye ozdorovitel’nye i reabilitatsionnye tekhnologii Materialy Vseross. nauch.-praktich. konf. S mezhdunar. uchastiem [Innovative health and rehabilitation technologies Materials of the all-Russian scientific and practical conference with international participation]. Eds D. V. Vorobyev, N. In. Timoshkina.2016, pp. 13–17. (In Russian)

Noskov S. M., Shirokova L. S., Lavrukhin, V. V., Parola O. M., Golikova V. Interventsionnye manipuliatsii na krupnykh sustavakh pri osteoartroze [Interventional manipulation of the major joints in osteoarthritis]. Med. vizualizatsiia [Medical imaging], 2009, no. 4, pp. 72–75. (In Russian)

Isaykin A. I., Kuznetsov I. V., kavelina A. V., Ivanova M. A. Nespetsificheskaia liumbalgiia: prichiny, klinika, diagnostika, lechenie [Unspecific lumbalgia: reasons, clinic, diagnostics, treatment]. Nevrol., neiropsikhiat., psikhosomat [Neurol., neuropsych., psychosom.], 2015, vol. 7, no. 4, pp. 101–109. (In Russian)

Rupert M. P., Lee M. L., Manchikanti S., Datta S., Cohen P. Evaluation of sacroiliac joint interventions: a systematic appraisal of literature. Pain physician, 2009, vol. 12, pp. 399–418.

Sitel’ A. B. Manual’naia terapiia spondilogennykh zabolevanii. Uch. posobie dlia slushatelei sistemy poslevuzovskogo professional’nogo obrazovaniia vrachei [The manual therapy of spondylogenic diseases. Study guide for participants in the system of postgraduate professional education of physicians]. Moscow, 2008.(In Russian)

Evsikov G. Yu., Egorov O. E., Rosen A. I. Radiochastotnaia denervatsiia v lechenii bolevogo sindroma pri patologii kresttsovo-podvzdoshnogo sochleneniia [Radiofrequency denervation in the treatment of pain syndrome in the pathology of the sacroiliac joint]. Neirokhirur. [Neurosurgery], 2015, no. 2, pp. 80–85. (In Russian)

Kholodov S. A. Transkutannoe protezirovanie sinovial’noi zhidkosti v sustave pri spondiloartroze poiasnichnogo otdela pozvonochnika [Transcutaneous prosthetics of synovial fluid in the joint with spondylarthrosis of the lumbar spine]. Neurosurg. [Neurosurgery], 2014, no. 3, pp. 50–54. (In Russian)

McGrath M. C., Zhang M. Lateral branches of dorsal sacral nerve plexus and the long posterior sacroiliac ligament. Surg. Radiol. Anat., 2005, vol. 27, pp. 327–330.

Singla V., Batra Y., Bharti N., Goni V., Marwaha N. Steroid versus Platelet-Rich Plasma in Ultrasound-Guided Sacroiliac Joint Injection for Chronic Low Back Pain. Pain Practice, 2016. https://doi.org/10/1111/papr.12526

Kuznetsov A. V., Dreval O. N., Rynkov I. P., Chagava D. A., Zakirov A. I. F. Lechenie bolevogo faset-sindroma u patsientov, perenesshikh mikrodiskektomiiu [Treatment of pain facet syndrome in patients who have undergone a microdiscectomy]. Vopr. neirokhirurg. im. N. N. Burdenko [N. N. Burdenko Quest. neurosurg.], 2011, vol. 75, no. 2, pp. 56–61. (In Russian)

Slobodin, T. N. Cakroileity. Diagnosticheskie kapkany [Sacroileitis. Diagnostic traps]. Mezhdunar. Nevrol. Zhurn. [International neurological journal],2016, no. 7 (85), pp. 99–104. (In Russian)

Laslett M. Evidence-based diagnosis and treatment and treatment of the painful sacroiliac joint. J. Manual Manipul. Ther., 2008, vol. 16, pp. 142–152.

Akhmetov B. H., Maksimov Yu. N. Rol’ patologii kresttsovo-podvzdoshnogo sustava v razvitii bolei v nizhnei chasti spiny [The role of pathology of the sacroiliac joint in the development of pain in the lower back]. Praktich. med. [Practical medicine], 2013, no. 1 (66), pp. 27–30. (In Russian)

Slimon C. W, Jackson H. B., Lipetz J. S., et al. Sacroiliac joint pain referral zones. Arch. Phy. Med. Rehabil., 2000, vol. 81, pp. 334–338.

Fortin J. D., Dwyer A. P., West S. et al. Sacroiliac joint: pain referral maps upon applying a new injection arthrography technique. Part I: asymptomatic volunteers. Spine 1994 (Phila Pa 1976), vol. 19, pp. 1475–1482.

Kurosawa D., Murakami E., Aizawa. Pain location depends on the affected section of the sacroiliac joint. Eur. Spine J. 2015, Mar., no. 24 (3), pp. 521–527. doi: 10.1007/s00586-014-3604-440123. McGrath C., Nicholson H., Hurst P. The long posterior sacroiliac lingament: a histological study of morphological relations in the posterior sacroiliac region. Join Bone Spine, 2009, vol. 79, pp. 57–62.

Szadek K. M., Hoogland p. V., Zuurmond W. W., et al. Possible nociceptive structures in the sacroiliac joint cartilage: an immunohistochemical study. Clin. Anat., 2010, vol. 23, pp. 192–198.

Ivanom A. A., Kiapour A., Ebraheim N. A., et al. Lumbag fusion leeds to increases in angular morion and stress cross sacroiliac joint. Spine, 2009, vol. 34, pp. 162–169.

Huijbregts P. Sacroiliac joint dysfunction: evidence-based diagnosis. Reh. Med., 2004, vol. 8. 14–37.

Volkov I. V., Karabaev I. V., Patrakhin I. V., Poyarkov K. A., Khlebov V. V. Primenenie interventsionnykh metodov lecheniia boli pri degenerativno-distroficheskikh zabolevaniiakh pozvonochnika. Pervyi opyt [Report: application of interventional methods of treatment of pain in degenerative diseases of the spine. First experience]. Neirokhirur. [Neurosurgery], 2015, no. 2, pp. 98–99. (In Russian)

Volkov I. V., Karabaev I. Sh., Aleksanin S. S. Biologicheskaia i radiatsionnaia bezopasnost’ patsientov pri interventsionnykh i minimal’no-invazivnykh vmeshatel’stvakh pri zabolevaniiakh i travmakh pozvonochnika: opyt otdeleniia neirokhirurgii Vseros. tsentra ekstr. i radiats. med. im. A. M. Nikiforova MChS Rossii. [Biological and radiation safety of patients at interventional and minimally invasive interventions at diseases and injuries of a backbone: experience of Department of neurosurgery of the all-Russian center of emergency and radiation medicine of them. A. M. Nikiforov of EMERCOM of Russia]. Mediko-biologicheskie i sotsial’no-psikhologicheskie problemy bezopasnosti v chrezvychainykh situatsiiakh [Medical-biological and socio-psychological problems of safety in emergency situations], 2017, no. 3, pp. 38–46. DOI: 10.25016/2541-7487-2017-0-3-38-46. (In Russian)

Fischenko I. V., Belaya I. I., Kudrin A. P. Diagnostika sindromov kresttsovo-podvzdoshnykh sustavov [Diagnosis of the syndrome of the sacroiliac joints]. Bol’. Sustavy. Pozvonochnik [Pain. Joints. Spine], 2016, no. 4 (24), pp. 18–23. (In Russian)

Polsunas P., Sowa G., Fritz J. Et al. Deconstructing Chronic Low Back Pain in the Old Adult-Step by Step Evidence and Expert-Based Recommendations for Evaluation and Treatment. Part X: Sacroiliac Joint Syndrome. Pain. Med., 2016, vol. 17, iss. 9, pp. 1638–1647. DOI: 10.1093/pm/pnw151

Chamokova B. B. Magnitno-rezonansnaia tomografiia v rannei diagnostike sakroileitov [Magnetic resonance imaging in the early diagnosis of sacroiliitis]. Radiologiia — praktika [Radiology — practice], 2009, no. 1, pp. 25–33. (In Russian)

Isaikin A. I., Davydov O. S., Kavelina A. V., Ivanova M. A. Problema spondiloartroza. Vzgliad nevrologa [The problem of spondylarthrosis. Neurologist’s view]. Effektivnaia farmakoterapiia [Effective pharmacotherapy], 2017, no. 38, pp. 28–41. (In Russian)

Ignatova A. V. Opyt primeneniia preparata khondrogard v sostave lechebno-medikamentoznykh blokad v lechenii fasetochnogo sindroma i disfunktsii kresttsovo-podvzdoshnogo sochleneniia v ambulatornykh usloviiakh [Experience of the use of the drug chondrogard in the composition of medical blocks in the treatment of facet syndrome and dysfunction of the sacroiliac joint in outpatient conditions] RMJ, 2013, vol. 21, no. 10, pp. 524–526. (In Russian)

Chou R. Diagnosis and Treatment of Low Back Pain: a Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine, 2007,vol. 7 (147), p. 478.

Byvaltsev V. A., Kalinin A. A., Okoneshnikovo A. K. Analiz klinicheskoi effektivnosti primeneniia fasetoplastiki pri lechenii faset-sindroma v poiasnichnom otdele pozvonochnika u patsienta pozhilogo i starcheskogo vozrasta [Analysis of the clinical effectiveness of pastplastic in the treatment of facet syndrome in the lumbar spine of the patient of elderly and senile age]. Uspekhi gerontol. [Advances in gerontology], 2017, vol. 30, no. 1, pp. 84–91. (In Russian)

Manchikanti L., Abdi S. Atluri S. et al. An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations. Pain Physician,2013, vol. 16, no. 2, Suppl, pp. S49–S283.

Singla V., Batra Y., Bharti N., Goni V., Marwaha N. Steroid versus Platelet-Rich Plasma in Ultrasound-Guided Sacroiliac Joint Injection for Chronic Low Back Pain. Pain Practice, 2016 (onlinelibrary.wiley.com) DOI: 10.1111 / papr.

Cohen S. P., Hurley R. W, Buckenmaier C. C. 3rd et al. Randomized placebo-controlled study evaluating lateral branch radiofrequency denervation for sacroiliac joint pain. Anesthesiology, 2008, vol. 109, iss. 2, pp. 279–288.

Cohen S. P., Strassels S. A., Kurihara C. et al. Outcome predictors for sacroiliac joint (lateral branch) radiofrequency denervation. Reg. Anesth. Pain Med., 2009, vol. 34, iss. 3, pp. 206–214.

Pevzner K. B., Evsikov G. Y. Chreskozhnaia radiochastotnaia destruktsiia sustavnykh nervov kak metod vybora v lechenii poiasnichnykh bolei [Percutaneous radio-frequency destruction of articular nerves as a method of choice in the treatment of lumbar pain]. Nevrol. zhurn. [Neurolog. Journ.], 2006, vol. 11, no. 2, pp. 45–49. (In Russian)

Published

2018-01-20

How to Cite

Яриков, А. В., Смирнов, И. И., Перльмуттер, О. А., Фраерман, А. П., & Симонов, А. Е. (2018). Questions of pathogenesis, diagnosis and treatment of dysfunction of the sacroiliac joint. Vestnik of Saint Petersburg University. Medicine, 13(4), 389–402. https://doi.org/10.21638/11701/spbu11.2018.406

Issue

Section

Neurology. Neurosurgery. Psychiatry