Possible use of arthrodesis for intractable sacroiliitis in spondylarthropathy : Report of two cases

Two cases of successful sacroiliac joint arthrodesis for medically intractable aseptic sacroiliitis are reported. Although successful arthrodesis of the sacroiliac joint had been reported previously for septic sacroiliitis, no report had shown the procedure to be effective for spondylarthropathy. Tw...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2001-10, Vol.26 (20), p.2297-2299
Main Authors: BERTHELOT, Jean-Marie, GOUIN, Francois, GLEMAREC, Joelle, MAUGARS, Yves, PROST, Alain
Format: Article
Language:English
Subjects:
Adult
Arthritis, Infectious - diagnostic imaging
Arthritis, Infectious - etiology
Arthritis, Infectious - pathology
Arthritis, Infectious - surgery
Arthrodesis - instrumentation
Biological and medical sciences
Bone Transplantation
Female
Humans
Ilium - transplantation
Medical sciences
Orthopedic surgery
Radiography
Sacroiliac Joint - diagnostic imaging
Sacroiliac Joint - pathology
Sacroiliac Joint - surgery
Spondylitis, Ankylosing - complications
Spondylitis, Ankylosing - diagnostic imaging
Spondylitis, Ankylosing - pathology
Spondylitis, Ankylosing - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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Summary:Two cases of successful sacroiliac joint arthrodesis for medically intractable aseptic sacroiliitis are reported. Although successful arthrodesis of the sacroiliac joint had been reported previously for septic sacroiliitis, no report had shown the procedure to be effective for spondylarthropathy. Two women with spondylarthropathy involving very painful sacroiliac arthritis for 18 and 24 months had been relieved only transiently by several injections of steroids into the sacroiliac joint under fluoroscopy and by Bermuda casts. Both patients underwent sacroiliac joint arthrodesis. Both patients showed dramatic improvement after sacroiliac joint arthrodesis. Moreover, no relapses had occurred, respectively, after 2 and 3 years of follow-up evaluation despite continuing spondylarthropathy in other joints. After a careful selection of patients, including positive blocks in the sacroiliac joint, arthrodesis of sacroiliac joint might be considered for so-called "intractable" aseptic sacroiliitis.
ISSN:0362-2436
1528-1159
DOI:10.1097/00007632-200110150-00028