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65th Annual Meeting of the German Society of Neurosurgery (DGNC)

German Society of Neurosurgery (DGNC)

11 - 14 May 2014, Dresden

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Stimulation for sacroiliac joint pain

Meeting Abstract

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  • Christian Preuss Hernandez - Abteilung für Neurochirurgie, Klinikum Idar-Oberstein GmbH
  • Marin Guentchev - Abteilung für Neurochirurgie, Klinikum Idar-Oberstein GmbH
  • Rainer Rink - Abteilung für Neurochirurgie, Klinikum Idar-Oberstein GmbH
  • Levente Peter - Abteilung für Neurochirurgie, Klinikum Idar-Oberstein GmbH
  • Ernst Wocker - Abteilung für Radiologie, Klinikum Idar-Oberstein GmbH
  • Jochen Tüttenberg - Abteilung für Neurochirurgie, Klinikum Idar-Oberstein GmbH

Deutsche Gesellschaft für Neurochirurgie. 65. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC). Dresden, 11.-14.05.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. DocP 096

doi: 10.3205/14dgnc492, urn:nbn:de:0183-14dgnc4927

Published: May 13, 2014

© 2014 Preuss Hernandez et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective: To determine the effectiveness of SIJ peripheral nerve stimulation in patients with severe therapy-refractory SIJ pain.

Method: Here we present 12 patients with severe therapy-refractory pain receiving a SIJ peripheral nerve stimulation. Patients satisfaction, pain and quality of life were evaluated by means of the International Patient Satisfaction Index (IPSI), Visual Analog Scale (VAS) and Oswestry Disability Index 2.0 (ODI) using standard questionnaires. For stimulation we placed a standard 8 pole peripheral nerve electrode parallel to the SIJ. Statistical analysis was performed using the Mann-Whitney-U-test and the preoperative VAS and ODI score served as basis for comparison.

Results: Two weeks postoperatively our patients reported an average ODI reduction from 57% to 32% and VAS from 8.9 to 1.8. IPSI was 1.1. After six months the therapy was rated as effective in 6 out of 7 patients. The average ODI was low 26% (p=0.0006) while the VAS index rose to 3.1 (p<0.0001) and IPSI to 1.9. Twelve months after stimulation 4 out of 5 patients considered their treatment a success with an average ODI of 27% (p<0.0005), VAS 2,6 (p<0.0001) and IPSI 1.4.

Conclusions: We conclude that SIJ stimulation is a promising therapeutic strategy in the treatment of intractable SIJ pain. Further studies are required to determine the precise target group and long-term effect of this novel treatment method.