Abstract | BACKGROUND AND PURPOSE: METHODS: All patients had a history of chronic back pain and had an osteoporotic sacral insufficiency fracture documented by imaging before the procedure. With the patient under conscious sedation, a bone biopsy needle was placed under CT guidance; the patient was then transferred to the fluoroscopy suite, where a polymethylmethacrylate mixture was injected into the sacrum under real-time fluoroscopy. Clinical outcome was assessed by telephone. RESULTS: The procedure was performed on 13 female patients with an average age of 76 years (range, 60-88 years). A bilateral procedure was performed in 11 patients and a unilateral procedure was performed in 2 patients. An average of 4.1 mL of cement was injected for each treatment. There were no instances of cement extravasation into the central canal or sacral foramina. Long-term follow-up, averaging 15 months, was available in 6 patients. Five patients (83%) reported no symptoms of pain at all. The final patient, in whom a bilateral procedure was performed, was completely asymptomatic on the left side but reported persistent unilateral pain on the right. CONCLUSION: Sacroplasty is a safe and effective procedure in the treatment of sacral insufficiency fractures that can provide substantial pain relief and lead to a better quality of life.
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Authors | W M Strub, M Hoffmann, R J Ernst, R V Bulas |
Journal | AJNR. American journal of neuroradiology
(AJNR Am J Neuroradiol)
Vol. 28
Issue 1
Pg. 38-41
(Jan 2007)
ISSN: 0195-6108 [Print] United States |
PMID | 17213421
(Publication Type: Journal Article)
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Chemical References |
- Bone Cements
- Polymethyl Methacrylate
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Topics |
- Aged
- Back Pain
(etiology, therapy)
- Bone Cements
- Female
- Fluoroscopy
- Fractures, Spontaneous
(diagnosis, therapy)
- Humans
- Middle Aged
- Osteoporosis, Postmenopausal
(complications, diagnosis, therapy)
- Polymethyl Methacrylate
(administration & dosage)
- Radiology, Interventional
- Sacrum
(drug effects, injuries, pathology)
- Spinal Fractures
(diagnosis, therapy)
- Tomography, X-Ray Computed
- Treatment Outcome
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