Sacrotuberous Ligament Pain in Patients who Underwent Sacroiliac Joint Arthrodesis: Incidence and Management of Post-Surgical Lower-Buttock Pain

Autor: Takeshi Sasaki, Daisuke Kurosawa, Eiichi Murakami
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Spine Surgery and Related Research, Vol 6, Iss 5, Pp 555-562 (2022)
Druh dokumentu: article
ISSN: 2432-261X
DOI: 10.22603/ssrr.2021-0239
Popis: Introduction: Most sacroiliac joint (SIJ) disorders are conservatively treated; however, patients with severe pain occasionally require SIJ arthrodesis after failure of continuous conservative management for more than 6 months. We investigated the incidences of preoperative tenderness in the sacrotuberous ligament (STL) and postoperative lower-buttock pain originating from the STL to determine the best way to manage these symptoms to achieve good outcomes. Methods: We retrospectively investigated 33 patients (14 men and 19 women) with a mean age of 47.7 years (range: 25-79 years) who underwent SIJ arthrodesis for severe pain confirmed using diagnostic SIJ injections between April 2009 and December 2019. We investigated the pain improvement at or around the posterior superior iliac spine (PSIS) pre- and postoperatively using the visual analogue scale (VAS) values, incidence of tenderness of the STL before surgery, rate of the persisting STL tenderness, incidence of new-onset STL pain, and treatment options for STL pain postoperatively. Results: The mean VAS value at or around the PSIS was significantly relieved postoperatively from 85.6 to 31.5 mm (P
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