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Fluoroscopy-guided Sacroiliac Joint Injections¹

¹ From the Department of Radiology, University of Virginia Health System, Lee St, Box 170, Charlottesville, VA 22908. Received November 19, 1998; revision requested December 21; final revision received April 16, 1999; accepted June 28 1999. Address reprint requests to R.G.D. (e-mail: rgd6q@virginia.edu).

The authors performed fluoroscopy-guided sacroiliac (SI) joint injections. With the patient prone and the x-ray tube perpendicular to the fluoroscopic table, the skin was marked over the distal 1 cm of the SI joint. With the tube angled 20°–25° cephalad, a 22-gauge needle was inserted at the skin mark and advanced perpendicular to the fluoroscopic table toward the posterior joint. Nonionic contrast material was injected to confirm the intraarticular position of the needle. Of 31 SI joint injections, 30 (97%) were intraarticular. Mean procedure time was 108 seconds. This technique is safe, rapid, and reproducible.

Index terms: Joints, sacroiliac, 337.1269

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