{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T01:11:33Z","timestamp":1790644293655,"version":"4.1.0"},"reference-count":49,"publisher":"BMJ","funder":[{"name":"Bisa Research Grant of Keimyung University","award":["20240636"],"award-info":[{"award-number":["20240636"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Reg Anesth Pain Med"],"accepted":{"date-parts":[[2026,3,15]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sacroiliac joint (SIJ) pain is a frequent cause of chronic low back pain, but the comparative effectiveness of available interventional treatments remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We explored the therapeutic effects of interventional treatments on SIJ using a network meta-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Evidence review<\/jats:title>\n                    <jats:p>A comprehensive systematic search of multiple databases was conducted to identify randomized controlled trials comparing conventional, cooled, and pulsed radiofrequency (RF) ablation; intra-articular steroid injections under different imaging guidance techniques; prolotherapy; platelet-rich plasma; sham procedures; and conservative management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Primary outcomes were pain intensity and Oswestry Disability Index at 1, 3, and 6\u2009months. Random-effects network meta-analysis estimated mean differences with 95% CIs, and P scores were used to rank treatments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>18 trials involving 1075\u2009patients were included. RF-based interventions consistently outperformed steroid injections, sham, and conservative care. For pain relief, cooled RF ranked highest at 1\u2009month, conventional RF at 3\u2009months, and pulsed RF at 6\u2009months, demonstrating significant superiority over most comparator treatments. For disability outcomes, pulsed RF provided the greatest improvement at 1 and 3\u2009months, whereas CT-guided intra-articular steroid injection ranked highest at 6\u2009months. However, the certainty of evidence was generally low to very low due to imprecision and study limitations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings support the overall effectiveness of RF techniques for SIJ pain while highlighting important evidence gaps that warrant further high-quality trials with longer follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/rapm-2026-107633","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T02:29:53Z","timestamp":1775442593000},"page":"rapm-2026-107633","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Interventional treatments for sacroiliac joint pain: a systematic review and network meta-analysis"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3097-4549","authenticated-orcid":false,"given":"Ji-Hoon","family":"Park","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Keimyung University College of Medicine, Daegu, Korea (the Republic of)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Ni","family":"Jang","sequence":"additional","affiliation":[{"name":"Catholic Kwandong University College of Medicine, Incheon, Korea (the Republic of)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soyoon","family":"Park","sequence":"additional","affiliation":[{"name":"Catholic Kwandong University College of Medicine, Incheon, Korea (the Republic of)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young-Soon","family":"Choi","sequence":"additional","affiliation":[{"name":"Catholic Kwandong University College of Medicine, Incheon, Korea (the Republic of)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakib","family":"Miah","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University of Colorado School of Medicine, Aurora, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8798-7578","authenticated-orcid":false,"given":"Sukhee","family":"Park","sequence":"additional","affiliation":[{"name":"Catholic Kwandong University College of Medicine, Incheon, Korea (the Republic of)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"2026033007301066000_rapm-2026-107633v1.1","doi-asserted-by":"publisher","DOI":"10.1586\/ern.12.148"},{"key":"2026033007301066000_rapm-2026-107633v1.2","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1097\/BRS.0000000000003309","article-title":"Determination of the Prevalence From Clinical Diagnosis of Sacroiliac Joint Dysfunction in Patients With Lumbar Disc Hernia and an Evaluation of the Effect of This Combination on Pain and Quality of Life","volume":"45","author":"Telli","year":"2020","journal-title":"Spine (Phila Pa 1976)"},{"key":"2026033007301066000_rapm-2026-107633v1.3","first-page":"370","article-title":"Sacroiliac Joint Dysfunction in Patients With Low Back Pain","volume":"36","author":"Barros","year":"2019","journal-title":"Fed Pract"},{"key":"2026033007301066000_rapm-2026-107633v1.4","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S327351"},{"key":"2026033007301066000_rapm-2026-107633v1.5","doi-asserted-by":"crossref","first-page":"294","DOI":"10.3344\/kjp.2020.33.4.294","article-title":"Etiopathogenesis of sacroiliitis: implications for assessment and management","volume":"33","author":"Baronio","year":"2020","journal-title":"Korean J Pain"},{"key":"2026033007301066000_rapm-2026-107633v1.6","article-title":"The efficacy and safety of using cooled radiofrequency in treating chronic sacroiliac joint pain","volume":"97","author":"Sun","year":"2018","journal-title":"Medicine (Abingdon)"},{"key":"2026033007301066000_rapm-2026-107633v1.7","doi-asserted-by":"crossref","DOI":"10.1186\/s12891-023-06344-7","article-title":"Cooled radiofrequency ablation of the sacroiliac joint a retrospective case series","volume":"24","author":"Maalouly","year":"2023","journal-title":"BMC Musculoskelet Disord"},{"key":"2026033007301066000_rapm-2026-107633v1.8","article-title":"The effectiveness and predictive factors of Sacroiliac Joint Radiofrequency Neurotomy success - 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