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Sacroiliac Joint and Sacral Lateral Branch Blocks

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Ultrasound for Interventional Pain Management

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Abstract

Sacroiliac joint (SIJ) and sacral lateral branch (SLB) blocks are used for the management of SIJ and posterior complex pain, respectively. If an eventual SLB radiofrequency ablation procedure is being contemplated, a SLB block may be preferable to an SIJ block. In this chapter we review both procedures and provide a detailed description of the ultrasound-guided approaches.

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Abbreviations

FL:

Fluoroscopic guidance

PSN:

Posterior sacral neural network

SIJ:

Sacroiliac joint

SLB:

Sacral lateral branch

USG:

Ultrasound guidance

Suggested Reading

  • Cohen SP, Chen Y, Neufeld NJ. Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment. Expert Rev Neurother. 2013;13:99–116.

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    Article  CAS  PubMed  Google Scholar 

  • Jee H, Lee JH, Park KD, Ahn J, Park Y. Ultrasound-guided versus fluoroscopy-guided sacroiliac joint intra-articular injections in the noninflammatory sacroiliac joint dysfunction: a prospective, randomized, single-blinded study. Arch Phys Med Rehabil. 2014;95:330–7.

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  • King W, Ahmed SU, Baisden J, Patel N, Kennedy DJ, MacVicar J, Duszynski B. Diagnosis and treatment of posterior sacroiliac complex pain: a systematic review with comprehensive analysis of the published data. Pain Med. 2015;16:257–65.

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  • Roberts SL, Burnham RS, Ravichandiran K, Agur AM, Loh E. Cadaveric study of sacroiliac joint innervation: implications for diagnostic blocks and radiofrequency ablation. Reg Anesth Pain Med. 2014;39:456–64.

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  • Soneji N, Bhatia A, Seib R, Tumber P, Dissanayake M, Peng PW. Comparison of fluoroscopy and ultrasound guidance for sacroiliac joint injection in patients with chronic low back pain. Pain Pract. 2016;16:537–44.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Alan Edwards Pain Management Unit, McGill University Health Centre, Montreal, Quebec, Canada

    Roderick Finlayson

  2. Department of Anesthesia, Pontificia Universidad Católica de Chile, Santiago, Chile

    María Francisca Elgueta Le-Beuffe

Authors
  1. Roderick Finlayson
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  2. María Francisca Elgueta Le-Beuffe
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Editor information

Editors and Affiliations

  1. Department of Anesthesia and Pain Management, Toronto Western Hopsital and Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada

    Philip Peng

  2. Alan Edwards Pain Management Unit, McGill University Health Centre, Montreal, Quebec, Canada

    Roderick Finlayson

  3. Madi Pain Management Center, Jeonju, Korea (Republic of)

    Sang Hoon Lee

  4. Department of Anesthesia and Pain Management, Toronto Western Hopsital and Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada

    Anuj Bhatia

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Cite this chapter

Finlayson, R., Le-Beuffe, M.F.E. (2020). Sacroiliac Joint and Sacral Lateral Branch Blocks. In: Peng, P., Finlayson, R., Lee, S., Bhatia, A. (eds) Ultrasound for Interventional Pain Management. Springer, Cham. https://doi.org/10.1007/978-3-030-18371-4_15

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  • DOI: https://doi.org/10.1007/978-3-030-18371-4_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-18370-7

  • Online ISBN: 978-3-030-18371-4

  • eBook Packages: MedicineMedicine (R0)

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