Abstract
Sacroiliac joint (SI) radiofrequency ablation is commonly performed to treat back pain when SI joint pathology has been proven with diagnostic injections. This chapter provides a step-by-step guide on how to perform this intervention safely and shows all the relevant C-arm and needle positions that need to be demonstrated during the Fellow of Interventional Pain Practice (FIPP) exam administered by the World Institute of Pain (WIP). Both native and edited high-quality images are included, so the fluoroscopy anatomy is more easily understood.
Possible complications of the procedures and common reasons for failure at the FIPP exam are also outlined. Evidence for the procedure is provided based on the available literature reviewed by the Benelux section of WIP and also by the American Society of Interventional Pain Physicians (ASIPP).
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Suggested Reading
Cosman ER Jr, Gonzalez CD. Bipolar radiofrequency lesion geometry: implications for palisade treatment of sacroiliac joint pain. Pain Pract. 2011;11:3–22.
Dreyfuss P, Henning T, Malladi N, Goldstein B, Bogduk N. The ability of multi-site, multi-depth sacral lateral branch blocks to anesthetize the sacroiliac joint complex. Pain Med. 2009;10:679–88.
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Pino CA, Hoeft MA, Hofsess C, Rathmell JP. Morphologic analysis of bipolar radiofrequency lesions: implications for treatment of the sacroiliac joint. Reg Anesth Pain Med. 2005;30:335–8.
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The Sacroiliac Joint Denervation chapter was reviewed by Sudhir Diwan, Andrea Trescot, Milan Stojanovic, and Agnes Stogicza.
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De Andrés Ares, J. (2020). Sacroiliac Joint Radiofrequency Ablation (Bipolar Palisade Technique). In: Stogicza, A.R., Mansano, A.M., Trescot, A.M., Staats, P.S. (eds) Interventional Pain . Springer, Cham. https://doi.org/10.1007/978-3-030-31741-6_27
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DOI: https://doi.org/10.1007/978-3-030-31741-6_27
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