Spontaneous ankylosis of the sacroiliac joint: prevalence and risk factors.
Ankylosis
Sacroiliac joint
Sagittal imbalance
Spine degeneration
Journal
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
received:
22
05
2022
accepted:
08
08
2022
medline:
19
6
2023
pubmed:
19
8
2022
entrez:
18
8
2022
Statut:
ppublish
Résumé
Evidence on spontaneous sacroiliac joint (SIJ) ankylosis is lacking. The aim of this analysis was to assess the prevalence of spontaneous SIJ ankylosis and examined different ankylosis patterns and risk factors for spontaneous SIJ ankylosis. Pelvic computed tomography (CT) data of 102 consecutive patients with spinal pathologies were compared to CT of a control group consisting of 102 consecutive patients without spinal pathologies. SIJ ankylosis patterns and risk factors for SIJ ankylosis, such as age, sex, and previous spinal fusion surgery were examined. Overall, 117 men and 86 women were examined between 2019 and 2020. Non-spinal patients were significantly older (mean age 70.5 years, standard deviation [SD] 11.4) than those in the spinal group (mean age 65.3 years, SD 14.3; p = 0.005). The prevalence of SIJ ankylosis was 24.5% in the non-spinal group and 23.5% in the spinal group. The anterior ankylosis type prevalence was 91.7% in the spinal group, compared to 48.0% in the non-spinal group. Factors associated with SIJ ankylosis were older age (odds ratio [OR] 1.04, 95% confidence interval [CI] 1.01-1.07, p = 0.004) and male sex (OR 5.14, 95% CI 2.29-11.55, p < 0.001). Spontaneous ankylosis of the SIJ was a frequent phenomenon in patients with and without spinal pathologies and more likely with older age and male sex. Anterior type SIJ ankylosis was substantially more frequent in patients with spinal pathologies. This may be due to strain exerted on the anterior SIJ aspects in patients with compromised posture due to spine degeneration.
Identifiants
pubmed: 35980540
doi: 10.1007/s00590-022-03359-z
pii: 10.1007/s00590-022-03359-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1821-1825Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
Références
Eno JJ, Boone CR, Bellino MJ, Bishop JA (2015) The prevalence of sacroiliac joint degeneration in asymptomatic adults. J Bone Joint Surg Am 97:932–936
doi: 10.2106/JBJS.N.01101
pubmed: 26041855
Vogler JB III, Brown WH, Helms CA, Genant HK (1984) The normal sacroiliac joint: a CT study of asymptomatic patients. Radiology 151:433–437
doi: 10.1148/radiology.151.2.6709915
pubmed: 6709915
Ha KY, Lee JS, Kim KW (2008) Degeneration of sacroiliac joint after instrumented lumbar or lumbosacral fusion: a prospective cohort study over five-year follow-up. Spine 33:1192–11984
doi: 10.1097/BRS.0b013e318170fd35
pubmed: 18469692
Leibushor N, Slonimsky E, Aharoni D, Lidar M, Eshed I (2017) CT abnormalities in the sacroiliac joints of patients with diffuse idiopathic skeletal hyperostosis. Am J Roentgenol 208:834–837
doi: 10.2214/AJR.16.16994
Resnick D, Niwayama G, Goergen TG (1977) Comparison of radiographic abnormalities of the sacroiliac joint in degenerative disease and ankylosing spondylitis. Am J Roentgenol 128:189–196
doi: 10.2214/ajr.128.2.189
Dar G, Peleg S, Masharawi Y, Steinberg N, Rothschild BM, Peled N, Hershkovitz I (2005) Sacroiliac joint bridging: demographical and anatomical aspects. Spine 30:E429–E432
doi: 10.1097/01.brs.0000172232.32082.e0
pubmed: 16094261
Imamura T, Saiki K, Okamoto K, Maeda J, Matsuo H, Wakebe T, Ogami K, Manabe Y, Koseki H, Tomita M, Tagami A (2014) Characterization of individuals with sacroiliac joint bridging in a skeletal population: analysis of degenerative changes in spinal vertebrae. Biomed Res Int 2014:879645
doi: 10.1155/2014/879645
pubmed: 25276825
pmcid: 4172928
Sato Y, Kashiwabara K, Taniguchi Y, Matsubayashi Y, Kato S, Hirai S, Tachibana N, Hasebe H, Nakajima K, Hayashi N, Tanaka S (2020) Associated factors for and progression rate of sacroiliac joint degeneration in subjects undergoing comprehensive medical checkups. Eur Spine J 29:579–585
doi: 10.1007/s00586-019-06160-5
pubmed: 31578637
Kwon BT, Kim HJ, Yang HJ, Park SM, Chang BS, Yeom JS (2020) Comparison of sacroiliac joint degeneration between patients with sagittal imbalance and lumbar spinal stenosis. Eur Spine J 29:3038–3043
doi: 10.1007/s00586-020-06558-6
pubmed: 32772169
Viera AJ, Garrett JM (2005) Understanding interobserver agreement: the kappa statistic. Fam Med 37:360–363
pubmed: 15883903
Waldron T, Rogers J (1990) An epidemiologic study of sacroiliac fusion in some human skeletal remains. Am J Phys Anthropol 83:123–127
doi: 10.1002/ajpa.1330830114
pubmed: 2221026
World Health Organization (2011) Global Health and Aging. https://www.who.int/ageing/publications/global_health.pdf . Accessed 15 Mar 2022
Shibata Y, Shirai Y, Miyamoto M (2002) The aging process in the sacroiliac joint: helical computed tomography analysis. J Orthop Sci 7:12–18
doi: 10.1007/s776-002-8407-1
pubmed: 11819126
Vleeming A, Schuenke MD, Masi AT, Carreiro JE, Danneels L, Willard FH (2012) The sacroiliac joint: an overview of its anatomy, function and potential clinical implications. J Anat 221:537–567
doi: 10.1111/j.1469-7580.2012.01564.x
pubmed: 22994881
pmcid: 3512279
Berger V et al (2008) Change in bone mineral density as a function of age in women and men and association with the use of antiresorptive agents. CMA J 178:1660–1668
Demontiero O, Vidal C, Duque G (2012) Aging and bone loss: new insights for the clinician. Ther Adv Musculoskelet Dis 4:61–76
doi: 10.1177/1759720X11430858
pubmed: 22870496
pmcid: 3383520
Legaye J (2014) Influence of age and sagittal balance of the spine on the value of the pelvic incidence. Eur Spine J 23:1394–1399
doi: 10.1007/s00586-014-3272-4
Yahara Y, Yasuda T, Kawaguchi Y, Suzuki K, Seki S, Kondo M, Makino H, Kamei K, Kanamori M, Kimura T (2020) Sacroiliac joint variation associated with diffuse idiopathic skeletal hyperostosis. BMC Musculoskelet Disord 21:93
doi: 10.1186/s12891-020-3105-z
pubmed: 32041573
pmcid: 7011504