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Purpose: to study the influence of spinopelvic parameters on the risk of sacroiliac joint (SIJ) dysfunction development and prognosis of its treatment in patients with degenerative-dystrophic diseases of lumbosacral spine. Patients and methods. Prospective nonrandomized study included 197 patients: 79 patients with SIJ syndrome verified by the test block (main group) and 118 patients with other causes of low back pain (control group). In the main group the treatment tactics consisted of intraarticular injections of glucocorticosteroids and radiofrequency SIJ denervation. The result was deemed positive when pain intensity reduction made up 50% by Numerical Rating Scale (NRS-11) and/or 20% by Oswestry Disability Index (ODI) with effect preservation for 12 months and more. Pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS) and lumbar lordosis (LL) were measured. PI-LL difference was calculated as well as PT/PI and SS/PI ratio, type of posture by P. Roussouly and leg length discrepancy were assessed.Results. Positive treatment results were achieved in 63 (79.75%) patients from the main group. The comparison of 2 groups showed that the main risk factor was the index of PT/PI ratio the odds ratio 6.39 (95% confidence interval (CI) 2.19-8.33; p=0.021) for the risk of SIJ dysfunction development and 4.1 (95% CI 1.98-5.86; p=0.031) for the negative treatment prognosis with that index threshold of 0.28 and 0.32, respectively.Conclusion. The detected reliable dependence between the retroversion degree and SIJ dysfunction development and treatment prognosis may become the basis for new additional studies

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About the authors

I. V. Volkov

Russian Scientific Research Institute of Traumatology and Orthopaedics named after R.R. Vreden; All-Russian Center of Emergency and Radiation Medicine named after A.M. Nikiforov


I. Sh. Karabaev

All-Russian Center of Emergency and Radiation Medicine named after A.M. Nikiforov

D. A. Ptashnikov

Russian Scientific Research Institute of Traumatology and Orthopaedics named after R.R. Vreden; North-Western State Medical University named after I.I. Mechnikov, St. Petersburg

N. A. Konovalov

N .N. Burdenko National Scientific and Practical Center for Neurosurgery

O. A. Lapaeva

Russian Scientific Research Institute of Traumatology and Orthopaedics named after R.R. Vreden


  1. Simopoulos T.T., Manchikanti L., Singh V. et al. A systematic evaluation of prevalence and diagnostic accuracy of sacroiliac joint interventions. Pain Phys. 2012; 15 (3): E305-44.
  2. Yoshihara H. Sacroiliac joint pain after lumbar/lumbosacral fusion: current knowledge. Eur. Spine J. 2012; 21 (9): 1788-96. doi: 10.1007/s00586-012-2350-8.
  3. Vleeming A., Schuenke M.D., Masi A.T. et al. The sacroiliac joint: an overview of its anatomy, function and potential clinical implications. J. Anatomy. 2012; 221 (6): 537-67. doi: 10.1111/j.1469-7580.2012.01564.x.
  4. Cohen S.P., Chen Y., Neufeld N.J. Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment. Exp. Rev. Neurother. 2013; 13 (1): 99-116. doi: 10.1586/ern.12.148.
  5. Евзиков Г.Ю., Егоров О.Е., Розен А.И. Радиочастотная денервация в лечении болевого синдрома при патологии крестцово-подвздошного сочленения. Нейрохирургия. 2015; 2: 80-5.
  6. Hancock M.J., Maher C.G., Latimer J. et al. Systematic review of tests to identify the disc, SIJ or facet joint as the source of low back pain. Eur. Spine J. 2007; 16 (10): 1539-50.
  7. Petersen T., Laslett M., Juhl C. Clinical classification in low back pain: best-evidence diagnostic rules based on systematic reviews. BMC Musculoskelet. Disord. 2017; 18 (1): 188. doi: 10.1186/s12891-017-1549-6.
  8. Diekhoff T., Hermann K.G., Greese J. et al. Comparison of MRI with radiography for detecting structural lesions of the sacroiliac joint using CT as standard of reference: results from the SIMACT study. Ann. Rheum. Dis. 2017; 76 (9): 1502-8. doi: 10.1136/annrheumdis-2016-210640.
  9. Bäcklund J., Clewett Dahl E., Skorpil M. Is CT indicated in diagnosing sacroiliac joint degeneration? Clin. Radiol. 2017; 72 (8): 693.e9-693.e13. doi: 1016/j.crad.2017.03.006.
  10. Vanelderen P., Szadek K., Cohen S.P. et al. Sacroiliac joint pain. Pain Pract. 2010; 10: 470-8. doi: 10.1111/j.15332500.2010.00394.x.
  11. Lingutla K.K., Pollock R., Ahuja S. Sacroiliac joint fusion for low back pain: a systematic review and metaanalysis. Eur. Spine J. 2016; 25 (6): 1924-31. doi:10.1007/ s00586-016-4490-8.
  12. Mehta V.A., Amin A., Omeis I. et al. Implications of spinopelvic alignment for the spine surgeon. Neurosurgery. 2015; 76 Suppl 1: S42-56; discussion S56. doi: 10.1227/01. neu.0000462077.50830.1a.
  13. Shin M.H., Ryu K.S., Hur J.W. et al. Comparative study of lumbopelvic sagittal alignment between patients with and without sacroiliac joint pain after lumbar interbody fusion. Spine (Phila Pa 1976). 2013; 38 (21): E1334-41. doi: 10.1097/BRS.0b013e3182a0da47.
  14. Cho D.Y., Shin M.H., Hur J.W. et al. Sagittal sacropelvic morphology and balance in patients with sacroiliac joint pain following lumbar fusion surgery. J. Korean Neurosurg. Soc. 2013; 54 (3): 201-6. doi:10.3340/ jkns.2013.54.3.201.
  15. Cosman E.R. Jr, Gonzalez C.D. Bipolar radiofrequency lesion geometry: implications for palisade treatment of sacroiliac joint pain. Pain Pract. 2011; 11 (1): 3-22. doi: 10.1111/j.1533-2500.2010.00400.x.
  16. Roussouly P., Gollogly S., Berthonnaud E., Dimnet J. Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position. Spine (Phila Pa 1976). 2005; 30 (3): 346-53.
  17. Schwab F., Patel A., Ungar B. et al. Adult spinal deformity-postoperative standing imbalance: how much can you tolerate? An overview of key parameters in assessing alignment and planning corrective surgery. Spine (Phila Pa 1976). 2010; 35 (25): 2224-31. brs.0b013e3181ee6bd4.
  18. Le Huec J.C., Hasegawa K. Normative values for the spine shape parameters using 3D standing analysis from a database of 268 asymptomatic Caucasian and Japanese subjects. Eur. Spine J. 2016; 25 (11): 3630-7.
  19. Puhakka K.B., Jurik A.G., Schiøttz-Christensen B. et al. MRI abnormalities of sacroiliac joints in early spondylarthropathy: a 1-year follow-up study. Scand. J. Rheumatol. 2004; 33 (5): 332-8.
  20. Chou L.H., Slipman C.W., Bhagia S.M. et al. Inciting events initiating injection-proven sacroiliac joint syndrome. Pain Med. 2004; 5 (1): 26-32.
  21. Kiapour A., Abdelgawad A.A., Goel V.K. et al. Relationship between limb length discrepancy and load distribution across the sacroiliac joint — a finite element study. J. Orthop. Res. 2012; 30 (10): 1577-80. doi: 10.1002/jor.22119.
  22. Knutson G.A. Anatomic and functional leg-length inequality: a review and recommendation for clinical decision-making. Part I, anatomic leg-length inequality: prevalence, magnitude, effects and clinical significance. Chiropr. Osteopat. 2005; 13: 11.
  23. Стауде В.А., Кондратьев А.В., Карпинский М.Ю. Численное моделирование и анализ напряженно-деформированного состояния крестцово-подвздошного сочленения при различных вариантах поясничного лордоза. Ортопедия, травматология и протезирование. 2012; 2 (257): 50-6 [Staude V.A., Kondrat’ev A.V., Karpinskii M.Yu. Modeling and analysis of the stress-strain state of the sacroiliac joint at various lumbar lordosis. Ortopediya, travmatologiya i protezirovanie. 2012; 2 (257): 50-6 (in Russian).
  24. Ivanov A.A., Kiapour A., Ebraheim N.A., Goel V. Lumbar fusion leads to increases in angular motion and stress across sacroiliac joint: a finite element study. Spine (Phila Pa 1976). 2009; 34 (5): 162-9.
  25. Ha K.Y., Lee J.S., Kim K.W. Degeneration of sacroiliac joint after instrumented lumbar or lumbosacral fusion: a prospective cohort study over five-year follow-up. Spine (Phila Pa 1976). 2008; 33 (11): 1192-8.
  26. Maigne J.Y., Planchon C.A. Sacroiliac joint pain after lumbar fusion. A study with anesthetic blocks. Eur. Spine J. 2005; 14 (7): 654-8.
  27. ManchikantiL.,AbdiS.,AtluriS.etal.Anupdateofcomprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations. Pain Phys. 2013; 16 (2 Suppl): 49-283.
  28. Juch J.N.S., Maas E.T., Ostelo R.W.J.G. et al. Effect of radiofrequency denervation on pain intensity among patients with chronic low back pain: The Mint Randomized Clinical Trials. JAMA. 2017; 318 (1): 68-81. doi: 10.1001/jama.2017.7918.



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