Bloqueo y radiofrecuencia de la articulación sacroilíaca

• Autores: José Antonio de Andrés Ibáñez, G. Roca, A. Perucho, Consuelo Nieto Iglesias, María Dolores López Alarcón
• Localización: Revista de la Sociedad Española del Dolor (SED), ISSN 1134-8046, Vol. 19, Nº. 6, 2012, págs. 335-345
• Idioma: español
• Títulos paralelos:
  • Block and radiofrequency sacroiliac joint
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 1 Cita
• Resumen
  • español

    La articulación sacroilíaca (ASI) es una importante fuente de dolor axial, contribuyendo en hasta un 15% del dolor crónico axial. Existen numerosas pruebas diagnósticas, aunque el examen físico, las pruebas radiológicas son insuficientes para el adecuado diagnóstico. El criterio diagnóstico más aceptado es el alivio del dolor de la ASI tras uno o varios bloqueos diagnósticos intra-articulares con anestésicos locales, realizados de manera adecuada. El proceder ante la positividad del bloqueo es la radiofrecuencia de las ramas que inervan la ASI. En el siguiente artículo se repasará la anatomía, el diagnóstico y los distintos tratamientos intervencionistas del dolor de origen sacroilíaco.

  • English

    Sacroiliac joint (ASI) is an important source of pain, contributing to 15% of chronic back pain. There are numerous diagnostic tests, although historical and physical examination findings and radiological imaging are insufficient for a proper diagnosis. An analgesic response to a properly performed diagnostic block, is the most reliable method to diagnose sacroiliac joint pain. If there is a positive block, radiofrequency denervation of the ASI is performed for a longterm pain-free period. The following article will review the anatomy, diagnosis and interventional treatment of sacroiliac joint pain.

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