{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:25:00Z","timestamp":1791876300916,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,4,27]],"date-time":"2012-04-27T00:00:00Z","timestamp":1335484800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"ISIS"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the type, incidence, and factors that contribute to adverse events associated with fluoroscopically guided intra\u2010articular sacroiliac joint injections (IASIJ).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary, academic, outpatient physical medicine and rehabilitation interventional spine clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>English\u2010speaking adults aged 18\u201090 years who underwent fluoroscopically guided IASIJ injections between March 8, 2004, and April 19, 2007.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>After IASIJ injections, 3 senior researchers recorded the presence and types of adverse events. The relationship of adverse events with age, gender, fluoroscopy time, vital signs, and trainee presence was analyzed with the Fisher exact or the Wilcoxon rank sum 2\u2010sided tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>The frequency of immediate (during or immediately after the procedure) or delayed (within 24\u201072 hours after the procedure) adverse events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 162 patients (133 women) underwent 191 procedures. The range of subject age was from 20 to 90 years (15.8 years, standard deviation [SD]). The range (SD) of the preprocedure 11\u2010point Likert Pain Scale was from 1.0 to 10.0 (2.0) and for the postprocedure 11\u2010point Likert Pain Scale was from 0.0 to 9.0 (2.5). Trainees were involved in 57% of the procedures. Reported immediate adverse events were vasovagal reaction (2.1% [n = 4]) and steroid\u2010clogged needle (0.5% [n = 1]). Follow\u2010up data were available for 132 of 191 procedures (69%). There were 32 adverse events reported at a mean follow\u2010up interval of 2 days, of which, the most frequent adverse events were injection\u2010site soreness (12.9% [n = 17]), pain exacerbation (5.3% [n = 7]), and facial flushing and\/or sweating (2.3% [n = 3]). Delayed adverse events decreased with older age (<jats:italic>P<\/jats:italic> = .0029). The patients who underwent bilateral procedures experienced more delayed adverse events than the patients who underwent unilateral procedures (<jats:italic>P<\/jats:italic> = .024).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Fluoroscopically guided IASIJ injection is associated with minimal adverse effects. The most common immediate adverse event was vasovagal reaction, and the most common delayed adverse event was injection\u2010site soreness. Younger age is significantly related to reported delayed adverse events.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.pmrj.2012.02.001","type":"journal-article","created":{"date-parts":[[2012,4,28]],"date-time":"2012-04-28T20:40:54Z","timestamp":1335645654000},"page":"473-478","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Adverse Events Associated With Fluoroscopically Guided Sacroiliac Joint Injections"],"prefix":"10.1002","volume":"4","author":[{"given":"Christopher T.","family":"Plastaras","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand B.","family":"Joshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Garvan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary P.","family":"Chimes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wesley","family":"Smeal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Rittenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Lento","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Stanos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen","family":"Fitzgerald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,4,27]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0097-5990(16)30608-X"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2000.108713"},{"key":"e_1_2_6_4_2","unstructured":"M.Gottesman J.Gallin.Interim Guidelines for NIH Intramural Principal Investigators and for NIH Institutional Review Boards on Reporting Adverse Eventshttp:\/\/ohsr.od.nih.gov\/adverse\/appendix2.html2000 Accessed October 28 2011"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3180b9f96e"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(02)04862-1"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2000.7166"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-200106000-00005"},{"key":"e_1_2_6_9_2","doi-asserted-by":"crossref","first-page":"E819","DOI":"10.1097\/BRS.0b013e3181f32bae","article-title":"The complications of transforaminal lumbar epidural steroid injections","volume":"36","author":"Karaman H.","year":"1976","journal-title":"Spine (Phila Pa 1976)"},{"key":"e_1_2_6_10_2","doi-asserted-by":"crossref","first-page":"165","DOI":"10.36076\/ppj.2007\/10\/165","article-title":"Sacroiliac joint interventions: A systematic review","volume":"10","author":"Hansen H.C.","year":"2007","journal-title":"Pain Physician"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.214.1.r00ja28273"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31819e2c78"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ro.2003.10.007"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2009.00651.x"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000200254.42500.58"},{"key":"e_1_2_6_16_2","first-page":"131","volume-title":"iSpine: Evidence\u2010Based Interventional Spine Care","author":"Maigne J.\u2010Y.","year":"2011"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-199503000-00034"},{"key":"e_1_2_6_18_2","doi-asserted-by":"crossref","first-page":"1380","DOI":"10.1136\/bmj.295.6610.1380","article-title":"Facial flushing after intra\u2010articular injection of steroid","volume":"295","author":"Pattrick M.","year":"1987","journal-title":"Br Med J (Clin Res Ed)"},{"key":"e_1_2_6_19_2","first-page":"1429","article-title":"Three pathways between the sacroiliac joint and neural structures","volume":"20","author":"Fortin J.D.","year":"1999","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002508-200003000-00004"},{"key":"e_1_2_6_21_2","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1097\/00007632-200002150-00015","article-title":"Incidence of intravascular uptake in lumbar spinal injection procedures","volume":"25","author":"Sullivan W.J.","year":"1976","journal-title":"Spine (Phila Pa 1976)"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e318162c358"},{"key":"e_1_2_6_23_2","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/00007632-200301010-00007","article-title":"Incidence of intravascular penetration in transforaminal cervical epidural steroid injections","volume":"28","author":"Furman M.B.","year":"1976","journal-title":"Spine (Phila Pa 1976)"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2009.03.017"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1111\/1468-0009.00023"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200505000-00012"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2008.569"},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.02.018"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.pmrj.2012.02.001","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148212000639?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148212000639?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.pmrj.2012.02.001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T10:53:06Z","timestamp":1694688786000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1016\/j.pmrj.2012.02.001"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4,27]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2012,7]]}},"alternative-id":["10.1016\/j.pmrj.2012.02.001"],"URL":"https:\/\/doi.org\/10.1016\/j.pmrj.2012.02.001","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,4,27]]},"assertion":[{"value":"2011-08-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-02-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-04-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}