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The success rate of ultrasound guided sacroiliac joint steroid injections in sacroiliitis. are we getting better? / Karim Alaa Eldin Wagdi Tawfik ; Supervised Amany Ezzat Ayad , Mohamed Ahmed Mansour , Ahmed Zaghloul Fouad

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Karim Alaa Eldin Wagdi Tawfik , 2020Description: 81 P. : charts , facsimiles ; 25cmOther title:
  • معدل نجاح حقن الستيرويد بالمفصل العجزى الحرقفى باستخدام الموجات فوق الصوتية فى التهاب المفصل العجزى الحرقفى [Added title page title]
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Dissertation note: Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Anaesthesia Summary: Background: Sacroiliitis is one of the most common causes of low back pain. Initial treatment of sacroiliac joint (SIJ) pain is conservative. Interventional procedures, as image-guided intraarticular (IA) SIJ steroid injections may be performed in patients who do not respond to conservative measures. Due to the complexity of SIJ, it is difficult to place the needle accurately in the IA space without image guidance.Ultrasonography has many advantages. It has no radiation exposure; procedures can be done outside the operating room which will decrease the operating costs. In this study, we re-estimated the success rate of intraarticular Ultrasound (US) guided SIJ injection and measured differences in clinical outcomes between IA and periarticular (PA) SIJ injection. Methods: 34 patients were enrolled in the study. 29 patients had unilateral sacroiliitis, 5 patients had bilateral sacroiliitis and accordingly, 39 SIJ were injected. US guided injections were performed and thenan anteroposterior fluoroscopy image was obtained for the injected joint to detect whether it was pre-dominantly IA or PA. Secondary outcomes included NRS scores at 10 minutes, 1 week,and 1 month after the procedure, the difference in Clinical outcome betweenIAandPAinjections, injection time, ODI score 1 month thereafter, and patient satisfaction. Results: 33 injections (84.6%) were IA, while 6 injections (15.4%) were PAas confirmed by fluoroscopy. The baseline mean pain score decreased from 7.21 to 1.92 one month after injection, andthe ODI results improved from a mean of 61.41 to 17.13. This demonstrates a significant therapeutic response (P<0.05). Moreover, there was no clinical difference observed between IA and PA injections
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Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.01.Ph.D.2020.Ka.S (Browse shelf(Opens below)) Not for loan 01010110082907000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.01.Ph.D.2020.Ka.S (Browse shelf(Opens below)) 82907.CD Not for loan 01020110082907000
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Cai01.11.01.Ph.D.2020.Es.K Ketamine versus magnesium sulphate as an adjuvant to local anesthetics in the peribulbar block for posterior segment surgeries : )A randomized controlled study / Cai01.11.01.Ph.D.2020.Es.K Ketamine versus magnesium sulphate as an adjuvant to local anesthetics in the peribulbar block for posterior segment surgeries : )A randomized controlled study / Cai01.11.01.Ph.D.2020.Ka.S The success rate of ultrasound guided sacroiliac joint steroid injections in sacroiliitis. are we getting better? / Cai01.11.01.Ph.D.2020.Ka.S The success rate of ultrasound guided sacroiliac joint steroid injections in sacroiliitis. are we getting better? / Cai01.11.01.Ph.D.2020.Mo.E Evaluating the effect of desflurane versus sevoflurane withrecent biomarkers of renal and hepatic function in laparoscopic cholecystecomy patients / Cai01.11.01.Ph.D.2020.Mo.E Evaluating the effect of desflurane versus sevoflurane withrecent biomarkers of renal and hepatic function in laparoscopic cholecystecomy patients / Cai01.11.01.Ph.D.2020.Mu.I Intraoperative motor evoked potential monitoring of facial nerve in patients undergoing cerebellopontine angle tumour resection using partial versus no neuromuscular block /

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Anaesthesia

Background: Sacroiliitis is one of the most common causes of low back pain. Initial treatment of sacroiliac joint (SIJ) pain is conservative. Interventional procedures, as image-guided intraarticular (IA) SIJ steroid injections may be performed in patients who do not respond to conservative measures. Due to the complexity of SIJ, it is difficult to place the needle accurately in the IA space without image guidance.Ultrasonography has many advantages. It has no radiation exposure; procedures can be done outside the operating room which will decrease the operating costs. In this study, we re-estimated the success rate of intraarticular Ultrasound (US) guided SIJ injection and measured differences in clinical outcomes between IA and periarticular (PA) SIJ injection. Methods: 34 patients were enrolled in the study. 29 patients had unilateral sacroiliitis, 5 patients had bilateral sacroiliitis and accordingly, 39 SIJ were injected. US guided injections were performed and thenan anteroposterior fluoroscopy image was obtained for the injected joint to detect whether it was pre-dominantly IA or PA. Secondary outcomes included NRS scores at 10 minutes, 1 week,and 1 month after the procedure, the difference in Clinical outcome betweenIAandPAinjections, injection time, ODI score 1 month thereafter, and patient satisfaction. Results: 33 injections (84.6%) were IA, while 6 injections (15.4%) were PAas confirmed by fluoroscopy. The baseline mean pain score decreased from 7.21 to 1.92 one month after injection, andthe ODI results improved from a mean of 61.41 to 17.13. This demonstrates a significant therapeutic response (P<0.05). Moreover, there was no clinical difference observed between IA and PA injections

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