Sacroiliac Joint Pain: Burden of Disease

Overview

Journal Med Devices (Auckl)

Publisher Dove Medical Press

Date 2014 Apr 22

PMID 24748825

Citations 50

Authors

Daniel Cher

David Polly

Sigurd Berven

Affiliations

Soon will be listed here.

Abstract

Objectives: The sacroiliac joint (SIJ) is an important and significant cause of low back pain. We sought to quantify the burden of disease attributable to the SIJ.

Methods: The authors compared EuroQol 5D (EQ-5D) and Short Form (SF)-36-based health state utility values derived from the preoperative evaluation of patients with chronic SIJ pain participating in two prospective clinical trials of minimally invasive SIJ fusion versus patients participating in a nationally representative USA cross-sectional survey (National Health Measurement Study [NHMS]). Comparative analyses controlled for age, sex, and oversampling in NHMS. A utility percentile for each SIJ subject was calculated using NHMS as a reference cohort. Finally, SIJ health state utilities were compared with utilities for common medical conditions that were published in a national utility registry.

Results: SIJ patients (number [n]=198) had mean SF-6D and EQ-5D utility scores of 0.51 and 0.44, respectively. Values were significantly depressed (0.28 points for the SF-6D utility score and 0.43 points for EQ-5D; both P<0.0001) compared to NHMS controls. SIJ patients were in the lowest deciles for utility compared to the NHMS controls. The SIJ utility values were worse than those of many common, major medical conditions, and similar to those of other common preoperative orthopedic conditions.

Conclusion: Patients with SIJ pain presenting for minimally invasive surgical care have marked impairment in quality of life that is worse than in many chronic health conditions, and this is similar to other orthopedic conditions that are commonly treated surgically. SIJ utility values are in the lowest two deciles when compared to control populations.

Citing Articles

Biomechanical Effects of Multi-segment Fixation on Lumbar Spine and Sacroiliac Joints: A Finite Element Analysis.

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Chronic Low Back Pain: History, Symptoms, Pain Mechanisms, and Treatment.

Farley T, Stokke J, Goyal K, DeMicco R Life (Basel). 2024; 14(7).

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Minimally invasive sacroiliac joint fusion using triangular titanium implants versus nonsurgical management for sacroiliac joint dysfunction: a systematic review and meta-analysis.

Ghaddaf A, Alsharef J, Alsharef N, Alsaegh M, Alshaban R, Almutairi A Can J Surg. 2024; 67(1):E16-E26.

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Effect of sacroiliac fusion on gait, standing balance, and pelvic mobility for unilateral sacroiliac joint dysfunction.

Mar D, Robinson K, Wilson B, Rashbaum R N Am Spine Soc J. 2023; 16:100288.

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Posterior oblique technique for sacroiliac joint fusion leads to greater pain relief and similar improvement in function compared to the lateral technique: A retrospective, comparative study.

Cahueque M, Grajeda J, Ardebol J, Azmitia E N Am Spine Soc J. 2023; 15:100259.

PMID: 37662689 PMC: 10470410. DOI: 10.1016/j.xnsj.2023.100259.

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