Magnetic resonance imaging guided corticosteroid injection of sacroiliac joints in patients with spondylarthropathy. Are multiple injections more beneficial?

I. Günaydin, P. L. Pereira, J. Fritz, C. König, I. Kötter

Research output: Contribution to journalArticle

Abstract

Efficacy of a second magnetic resonance (MR) imaging guided corticosteroid injection of inflamed sacroiliac joints (SIJ) in patients with spondylarthropathy. Thirty-one patients received 50 injections in an outpatient basis. Fifteen of 31 patients who relapsed or were non-responders received a second injection. All had MR-guided injection of 40 mg triamcinolone acetonide into SIJ using an open 0.2 Tesla unit. Twenty of 31 patients after the first injection, and 9 of 15 patients after the second injection reported subjective improvement, which lasted for a mean of 8.7 ± 10.9 and 16.1 ± 15.8 months for each group. Subchondral bone marrow edema resolved in 15 of 20 patients who reported subjective improvement, after the first injection. No complications occurred. MR guided steroid injection of SIJ is effective and safe. Since there is no exposure to radiation it could be performed many times. Repeated injections seem to be beneficial for primary non-responders and patients who relapsed.

Original languageEnglish (US)
Pages (from-to)396-400
Number of pages5
JournalRheumatology International
Volume26
Issue number5
DOIs
StatePublished - Mar 1 2006
Externally publishedYes

Keywords

  • Corticosteroid reinjection
  • Magnetic resonance imaging
  • Sacroiliac joints
  • Spondylarthropathy

ASJC Scopus subject areas

  • Rheumatology
  • Immunology and Allergy
  • Immunology

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