Sacroiliac joint pain following iliac-bone marrow aspiration and biopsy: a cohort study

Pain Manag. 2019 May;9(3):251-258. doi: 10.2217/pmt-2018-0085. Epub 2019 May 29.

Abstract

Background: Sacroiliac joint (SIJ) pain is a common source of lower back pain; the factors associated have not been studied in cancer patients. Observing patients with bone marrow aspiration and biopsy (BMAB) who subsequently developed SIJ-pain led to this investigation. Aim: To investigate this possible relationship. Methods: A cohort study of cancer patients diagnosed with SIJ pain. The association of BMAB with SIJ pain was evaluated, as were variables that differed between the groups. Results: The prevalence of SIJ pain was 4.95% (231/4669). Among 231 patients with SIJ pain, 34% (78/231) did not have prior history of lower back pain and had undergone BMAB prior to their diagnosis of SIJ pain. A statistically significant association between BMAB-SIJ-pain was found (p < 0.01). Conclusion: We found linear correlation between BMAB and subsequent SIJ pain.

Keywords: bone marrow aspiration and biopsy; lower back pain; pain; sacroiliac joint.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arthralgia / physiopathology*
  • Biopsy, Needle
  • Bone Marrow / pathology*
  • Cohort Studies
  • Female
  • Humans
  • Longitudinal Studies
  • Low Back Pain / complications*
  • Low Back Pain / pathology
  • Low Back Pain / physiopathology
  • Male
  • Middle Aged
  • Neoplasms / complications*
  • Neoplasms / pathology
  • Sacroiliac Joint / pathology*
  • Sacroiliac Joint / physiopathology*
  • Young Adult