Steroid vs. Platelet-Rich Plasma in Fluoroscopy-Guided Sacroiliac Joint Injection for Chronic Low Back Pain

Ali, Mohamed Nageeb Abdeltwab; Nazim, Wael Mohamed; Ahmed, Maged Ahmed Hamed; Mohamed, Mohamed Saad Abd El-Aziz

doi:10.21608/ejmr.2024.262441.1527

Steroid vs. Platelet-Rich Plasma in Fluoroscopy-Guided Sacroiliac Joint Injection for Chronic Low Back Pain

Document Type : Original Article

Authors

Department of Neurosurgery, Faculty of Medicine – Beni-Suef University

10.21608/ejmr.2024.262441.1527

Abstract

Background: ache below the L5 vertebra in the lower back is frequently caused by the sacroiliac joint (SIJ), which is implicated in up to 27% of such cases. However, treating SIJ pain is a significant therapeutic challenge. Platelet-rich plasma (PRP) is a blood-derived product that can be applied to tissues and release growth factors, accelerating the body's natural healing response. Aim and objectives: To compare the efficacy of intra-articular injection of steroid and platelet rich plasma PRP in treatment of sacroiliac joint pain. Results: There was a statistically significant difference between steroid and PRP groups regarding VAS scores after one week and after 3 months (p-values= 0.009 and 0.039 respectively). The short-term effect of steroid was significantly better than PRP, but the long-term effect of PRP was significantly better than steroid. Steroid had faster improvement with 55.2% improvement after one week of injection compared to 46.4% in case of PRP injection (p-value= 0.009). As regards the long term effect, PRP had better improvement after 3 months with 42.9% compared to only 24.4% after steroid injection (p-value=0.039). Conclusion: The short-term effect of steroid was significantly better than PRP after week, but the long-term effect of PRP was significantly better than steroid after three months.

Keywords

Main Subjects

Surgery ·

References

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