Sacro-Iliac Joint Sensory Block and Radiofrequency Ablation: Assessment of Bony Landmarks Relevant for Image-Guided Procedures
Image-guided sensory block and radiofrequency ablation of the nerves innervating the sacro-iliac joint require readily identifiable bony landmarks for accurate needle/electrode placement. Understanding the relative locations of the transverse sacral tubercles along the lateral sacral crest is import...
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Published in | BioMed research international Vol. 2016; no. 2016; pp. 1 - 7 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Cairo, Egypt
Hindawi Publishing Corporation
01.01.2016
Hindawi Limited |
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Abstract | Image-guided sensory block and radiofrequency ablation of the nerves innervating the sacro-iliac joint require readily identifiable bony landmarks for accurate needle/electrode placement. Understanding the relative locations of the transverse sacral tubercles along the lateral sacral crest is important for ultrasound guidance, as they demarcate the position of the posterior sacral network (S1–S3 ± L5/S4) innervating the posterior sacro-iliac joint. No studies were found that investigated the spatial relationships of these bony landmarks. The purpose of this study was to visualize and quantify the interrelationships of the transverse sacral tubercles and posterior sacral foramina to inform image-guided block and radiofrequency ablation of the sacro-iliac joint. The posterior and lateral surfaces of 30 dry sacra (15 M/15 F) were digitized and modeled in 3D and the distances between bony landmarks quantified. The relationships of bony landmarks (S1–S4) were not uniform. The mean intertubercular and interforaminal distances decreased from S1 to S4, whereas the distance from the lateral margin of the posterior sacral foramina to the transverse sacral tubercles increased from S1 to S3. The mean intertubercular distance from S1 to S3 was significantly ( p < 0.05 ) larger in males. The interrelationships of the sacral bony landmarks should be taken into consideration when estimating the site and length of an image-guided strip lesion targeting the posterior sacral network. |
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AbstractList | Image-guided sensory block and radiofrequency ablation of the nerves innervating the sacro-iliac joint require readily identifiable bony landmarks for accurate needle/electrode placement. Understanding the relative locations of the transverse sacral tubercles along the lateral sacral crest is important for ultrasound guidance, as they demarcate the position of the posterior sacral network (S1–S3 ± L5/S4) innervating the posterior sacro-iliac joint. No studies were found that investigated the spatial relationships of these bony landmarks. The purpose of this study was to visualize and quantify the interrelationships of the transverse sacral tubercles and posterior sacral foramina to inform image-guided block and radiofrequency ablation of the sacro-iliac joint. The posterior and lateral surfaces of 30 dry sacra (15 M/15 F) were digitized and modeled in 3D and the distances between bony landmarks quantified. The relationships of bony landmarks (S1–S4) were not uniform. The mean intertubercular and interforaminal distances decreased from S1 to S4, whereas the distance from the lateral margin of the posterior sacral foramina to the transverse sacral tubercles increased from S1 to S3. The mean intertubercular distance from S1 to S3 was significantly ( p < 0.05 ) larger in males. The interrelationships of the sacral bony landmarks should be taken into consideration when estimating the site and length of an image-guided strip lesion targeting the posterior sacral network. Image-guided sensory block and radiofrequency ablation of the nerves innervating the sacro-iliac joint require readily identifiable bony landmarks for accurate needle/electrode placement. Understanding the relative locations of the transverse sacral tubercles along the lateral sacral crest is important for ultrasound guidance, as they demarcate the position of the posterior sacral network (S1-S3 ± L5/S4) innervating the posterior sacro-iliac joint. No studies were found that investigated the spatial relationships of these bony landmarks. The purpose of this study was to visualize and quantify the interrelationships of the transverse sacral tubercles and posterior sacral foramina to inform image-guided block and radiofrequency ablation of the sacro-iliac joint. The posterior and lateral surfaces of 30 dry sacra (15 M/15 F) were digitized and modeled in 3D and the distances between bony landmarks quantified. The relationships of bony landmarks (S1-S4) were not uniform. The mean intertubercular and interforaminal distances decreased from S1 to S4, whereas the distance from the lateral margin of the posterior sacral foramina to the transverse sacral tubercles increased from S1 to S3. The mean intertubercular distance from S1 to S3 was significantly (p < 0.05) larger in males. The interrelationships of the sacral bony landmarks should be taken into consideration when estimating the site and length of an image-guided strip lesion targeting the posterior sacral network. Image-guided sensory block and radiofrequency ablation of the nerves innervating the sacro-iliac joint require readily identifiable bony landmarks for accurate needle/electrode placement. Understanding the relative locations of the transverse sacral tubercles along the lateral sacral crest is important for ultrasound guidance, as they demarcate the position of the posterior sacral network (S1–S3 ± L5/S4) innervating the posterior sacro-iliac joint. No studies were found that investigated the spatial relationships of these bony landmarks. The purpose of this study was to visualize and quantify the interrelationships of the transverse sacral tubercles and posterior sacral foramina to inform image-guided block and radiofrequency ablation of the sacro-iliac joint. The posterior and lateral surfaces of 30 dry sacra (15 M/15 F) were digitized and modeled in 3D and the distances between bony landmarks quantified. The relationships of bony landmarks (S1–S4) were not uniform. The mean intertubercular and interforaminal distances decreased from S1 to S4, whereas the distance from the lateral margin of the posterior sacral foramina to the transverse sacral tubercles increased from S1 to S3. The mean intertubercular distance from S1 to S3 was significantly ( p < 0.05 ) larger in males. The interrelationships of the sacral bony landmarks should be taken into consideration when estimating the site and length of an image-guided strip lesion targeting the posterior sacral network. Image-guided sensory block and radiofrequency ablation of the nerves innervating the sacro-iliac joint require readily identifiable bony landmarks for accurate needle/electrode placement. Understanding the relative locations of the transverse sacral tubercles along the lateral sacral crest is important for ultrasound guidance, as they demarcate the position of the posterior sacral network (S1-S3 plus or minus L5/S4) innervating the posterior sacro-iliac joint. No studies were found that investigated the spatial relationships of these bony landmarks. The purpose of this study was to visualize and quantify the interrelationships of the transverse sacral tubercles and posterior sacral foramina to inform image-guided block and radiofrequency ablation of the sacro-iliac joint. The posterior and lateral surfaces of 30 dry sacra (15 M/15 F) were digitized and modeled in 3D and the distances between bony landmarks quantified. The relationships of bony landmarks (S1-S4) were not uniform. The mean intertubercular and interforaminal distances decreased from S1 to S4, whereas the distance from the lateral margin of the posterior sacral foramina to the transverse sacral tubercles increased from S1 to S3. The mean intertubercular distance from S1 to S3 was significantly ( p<0.05 ) larger in males. The interrelationships of the sacral bony landmarks should be taken into consideration when estimating the site and length of an image-guided strip lesion targeting the posterior sacral network. Image-guided sensory block and radiofrequency ablation of the nerves innervating the sacro-iliac joint require readily identifiable bony landmarks for accurate needle/electrode placement. Understanding the relative locations of the transverse sacral tubercles along the lateral sacral crest is important for ultrasound guidance, as they demarcate the position of the posterior sacral network (S1–S3 ± L5/S4) innervating the posterior sacro-iliac joint. No studies were found that investigated the spatial relationships of these bony landmarks. The purpose of this study was to visualize and quantify the interrelationships of the transverse sacral tubercles and posterior sacral foramina to inform image-guided block and radiofrequency ablation of the sacro-iliac joint. The posterior and lateral surfaces of 30 dry sacra (15 M/15 F) were digitized and modeled in 3D and the distances between bony landmarks quantified. The relationships of bony landmarks (S1–S4) were not uniform. The mean intertubercular and interforaminal distances decreased from S1 to S4, whereas the distance from the lateral margin of the posterior sacral foramina to the transverse sacral tubercles increased from S1 to S3. The mean intertubercular distance from S1 to S3 was significantly ( p < 0.05) larger in males. The interrelationships of the sacral bony landmarks should be taken into consideration when estimating the site and length of an image-guided strip lesion targeting the posterior sacral network. Image-guided sensory block and radiofrequency ablation of the nerves innervating the sacro-iliac joint require readily identifiable bony landmarks for accurate needle/electrode placement. Understanding the relative locations of the transverse sacral tubercles along the lateral sacral crest is important for ultrasound guidance, as they demarcate the position of the posterior sacral network (S1-S3 ± L5/S4) innervating the posterior sacro-iliac joint. No studies were found that investigated the spatial relationships of these bony landmarks. The purpose of this study was to visualize and quantify the interrelationships of the transverse sacral tubercles and posterior sacral foramina to inform image-guided block and radiofrequency ablation of the sacro-iliac joint. The posterior and lateral surfaces of 30 dry sacra (15 M/15 F) were digitized and modeled in 3D and the distances between bony landmarks quantified. The relationships of bony landmarks (S1-S4) were not uniform. The mean intertubercular and interforaminal distances decreased from S1 to S4, whereas the distance from the lateral margin of the posterior sacral foramina to the transverse sacral tubercles increased from S1 to S3. The mean intertubercular distance from S1 to S3 was significantly ( < 0.05) larger in males. The interrelationships of the sacral bony landmarks should be taken into consideration when estimating the site and length of an image-guided strip lesion targeting the posterior sacral network. |
Author | Burnham, Robert S. Agur, Anne M. Loh, Eldon Roberts, Shannon L. Robinson, Trevor J. G. |
AuthorAffiliation | 3 Department of Physical Medicine and Rehabilitation, University of Western Ontario, London, ON, Canada 4 Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto, Toronto, ON, Canada 1 Division of Anatomy, Department of Surgery, University of Toronto, Toronto, ON, Canada 2 Division of Physical Medicine and Rehabilitation, University of Alberta, Edmonton, AB, Canada |
AuthorAffiliation_xml | – name: 1 Division of Anatomy, Department of Surgery, University of Toronto, Toronto, ON, Canada – name: 3 Department of Physical Medicine and Rehabilitation, University of Western Ontario, London, ON, Canada – name: 4 Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto, Toronto, ON, Canada – name: 2 Division of Physical Medicine and Rehabilitation, University of Alberta, Edmonton, AB, Canada |
Author_xml | – sequence: 1 fullname: Loh, Eldon – sequence: 2 fullname: Burnham, Robert S. – sequence: 3 fullname: Roberts, Shannon L. – sequence: 4 fullname: Robinson, Trevor J. G. – sequence: 5 fullname: Agur, Anne M. |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27747222$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1016_j_inpm_2022_100118 crossref_primary_10_1016_j_pmr_2021_05_008 crossref_primary_10_1016_j_pmr_2021_05_007 crossref_primary_10_5606_tftrd_2022_8534 crossref_primary_10_1097_ACO_0000000000000656 |
Cites_doi | 10.1111/j.1533-2500.2010.00400.x 10.1111/pme.12566 10.1007/s00276-010-0735-0 10.1002/art.24204 10.1016/j.jocn.2008.07.081 10.1586/ern.12.148 10.1097/aap.0000000000000156 10.3928/0147-7447-19980601-13 10.1007/BF01628500 10.1002/ajpa.1330490116 10.7863/jum.2003.22.6.553 |
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Copyright | Copyright © 2016 Trevor J. G. Robinson et al. Copyright © 2016 Trevor J. G. Robinson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2016 Trevor J. G. Robinson et al. 2016 |
Copyright_xml | – notice: Copyright © 2016 Trevor J. G. Robinson et al. – notice: Copyright © 2016 Trevor J. G. Robinson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. – notice: Copyright © 2016 Trevor J. G. Robinson et al. 2016 |
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References_xml | – volume: 33 start-page: 279 issue: 3 year: 2011 end-page: 286 ident: 3 article-title: Bony landmarks in the sacral region: the posterior superior iliac spine and the second dorsal sacral foramina: a potential guide for sonography publication-title: – volume: 19 start-page: 353 issue: 6 year: 1997 end-page: 357 ident: 6 article-title: Anatomic considerations of the second sacral vertebra and dorsal screw placement publication-title: – volume: 13 start-page: 99 issue: 1 year: 2013 end-page: 116 ident: 1 article-title: Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment publication-title: – volume: 39 start-page: 456 issue: 6 year: 2014 end-page: 464 ident: 2 article-title: Cadaveric study of sacroiliac joint innervation: implications for diagnostic blocks and radiofrequency ablation publication-title: – volume: 49 start-page: 103 issue: 1 year: 1978 end-page: 110 ident: 7 article-title: Univariate and multivariate methods for sexing the sacrum publication-title: – volume: 21 start-page: 703 issue: 6 year: 1998 end-page: 706 ident: 5 article-title: Location of the sacral pedicle, foramina, and ala on the lateral aspect of the sacrum: A Radiographic Study publication-title: – volume: 22 start-page: 553 issue: 6 year: 2003 end-page: 559 ident: 11 article-title: Sacroiliac joint injections performed with sonographic guidance publication-title: – volume: 16 start-page: 1046 issue: 8 year: 2009 end-page: 1049 ident: 4 article-title: The human sacrum and safe approaches for screw placement publication-title: – volume: 15 start-page: 2020 issue: 12 year: 2014 end-page: 2036 ident: 8 article-title: Factors that affect radiofrequency heat lesion size publication-title: – volume: 11 start-page: 3 issue: 1 year: 2011 end-page: 22 ident: 9 article-title: Bipolar radiofrequency lesion geometry: implications for palisade treatment of sacroiliac joint pain publication-title: – volume: 59 start-page: 1618 issue: 11 year: 2008 end-page: 1624 ident: 10 article-title: Feasibility of ultrasound-guided sacroiliac joint injection considering sonoanatomic landmarks at two different levels in cadavers and patients publication-title: – ident: 9 doi: 10.1111/j.1533-2500.2010.00400.x – ident: 8 doi: 10.1111/pme.12566 – ident: 4 doi: 10.1007/s00276-010-0735-0 – ident: 10 doi: 10.1002/art.24204 – ident: 5 doi: 10.1016/j.jocn.2008.07.081 – ident: 1 doi: 10.1586/ern.12.148 – ident: 2 doi: 10.1097/aap.0000000000000156 – volume: 21 start-page: 703 issue: 6 year: 1998 ident: 3 publication-title: Orthopedics doi: 10.3928/0147-7447-19980601-13 – ident: 6 doi: 10.1007/BF01628500 – ident: 7 doi: 10.1002/ajpa.1330490116 – volume: 22 start-page: 553 issue: 6 year: 2003 ident: 11 publication-title: Journal of Ultrasound in Medicine doi: 10.7863/jum.2003.22.6.553 |
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Snippet | Image-guided sensory block and radiofrequency ablation of the nerves innervating the sacro-iliac joint require readily identifiable bony landmarks for accurate... |
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SubjectTerms | Ablation Anatomic Landmarks - diagnostic imaging Anatomic Landmarks - surgery Cadaver Catheter Ablation - methods Combined Modality Therapy Digitization Female Females Humans Male Males Medicine Nerve Block - methods Rehabilitation Reproducibility of Results Sacroiliac Joint - innervation Sacroiliac Joint - surgery Sacrum - diagnostic imaging Sacrum - surgery Sensitivity and Specificity Spinal Nerves - diagnostic imaging Spinal Nerves - surgery Surgery, Computer-Assisted - methods Treatment Outcome Ultrasonic imaging |
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Title | Sacro-Iliac Joint Sensory Block and Radiofrequency Ablation: Assessment of Bony Landmarks Relevant for Image-Guided Procedures |
URI | https://search.emarefa.net/detail/BIM-1096882 https://dx.doi.org/10.1155/2016/1432074 https://www.ncbi.nlm.nih.gov/pubmed/27747222 https://www.proquest.com/docview/1825202457/abstract/ https://search.proquest.com/docview/1835442012 https://search.proquest.com/docview/1837331993 https://pubmed.ncbi.nlm.nih.gov/PMC5055942 |
Volume | 2016 |
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