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August 20, 2025Orthopedic ReviewsOpen Access

Evaluation of Landmark-Based and Fluoroscopic-Guided Sacroiliac Joint Injections-A Pilot Series

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Pilot study compares pain relief from fluoroscopic-guided and landmark-based SIJ injections in 10 patients, suggesting alternatives may be viable.

Fluoroscopic-guided injections provided greater and more consistent pain relief compared to landmark-based injections, indicating a notable difference in efficacy.
Patients reported an average pain relief of 76% for fluoroscopic-guided injections versus 56% for landmark-based approaches, highlighting the potential benefits of imaging techniques.
Ten patients, all suspected of sacroiliac joint dysfunction, participated in this observational analysis of intervention methods, assessing outcomes two weeks post-injection.
The absence of complications in both groups underscores the safety of fluoroscopic-guided and landmark-based SIJ injections when performed by trained professionals.

Hasoon et al. (2025) studied this question.

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Pilot study compares pain relief from fluoroscopic-guided and landmark-based SIJ injections in 10 patients, suggesting alternatives may be viable.