The relationship between sacroiliac joint MRI scores and central sensitization in axial spondyloarthritis: A cross-sectional study

Year 2024, Volume: 37 Issue: 3, 338 - 343, 30.10.2024

Feyza Nur Yücel , Halise Hande Gezer , Mehmet Tuncay Duruöz

https://doi.org/10.5472/marumj.1571920

Abstract

ABSTRACT
Objective: To investigate the relationship between sacroiliac joint (SIJ) involvement and central sensitization (CS) in patients with axial
spondyloarthritis (axSpA).
Patients and Methods: Twenty-four patients with axSpA were included in this study. CS was investigated via pressure pain threshold
(PPT), temporal summation (TS), conditional pain modulation (CPM), and the central sensitization inventory (CSI). Sacroiliac joint
involvement was assessed using the magnetic resonance imaging (MRI)-based Canadian Spondyloarthritis Research Consortium
(SPARCC) scoring system. CS-related parameters and SPARCC score correlations were analyzed.
Results: The median (IQR) sacroiliac PPT score for the right SIJ was calculated as 17.47 (4.43) and 17.67 (4.57) for the left SIJ. In the TS
measurement, the right SIJ TS median (IQR) value was calculated as 4.0 (3.5) and 4.0 (2.75) for the left side. The median (IQR) value
was 149.67 (107.5) for CPM and 45.0 (27.75) for CSI. The median (IQR) sacroiliac inflammation score was calculated as 3.0 (8.75),
and the median (IQR) structural score was calculated as 7.0 (11.5). No correlation was found between SPARCC scores and PPT, TS,
CPM, and CSI values.
Conclusion: In axSpA patients, there was no association observed between pain sensitivity measures and sacroiliac involvement.
Further comprehensive studies are required, taking into account the complex nature of CS.

Keywords

Axial spondyloarthritis, Central sensitization, Quantitative sensory testing, Central sensitization inventory, SPARCC

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