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<meta name="twitter:title" content="CT Fluoroscopically Guided Percutaneous Placement of Transiliosacral Rod for Sacral Insufficiency Fracture: Case Report and Technique" />
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<meta name="twitter:description" content="SUMMARY: Treatment of sacral insufficiency fractures (SIFs) has traditionally been conservative, but several patients have been treated with percutaneous sacroplasty. Unfortunately, in the setting of severe, bilateral SIFs, cement may not withstand shear forces present at the lumbosacral junction, and surgical hardware may not provide adequate fixation in osteoporotic, cancellous bone of the sacrum, leading to eventual pseudarthrosis. Thus, we propose a novel technique in which guidance with CT fluoroscopy allows placement of a transiliosacral bar in conjunction with sacroplasty." />
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<meta name="og-description" property="og:description" content="SUMMARY: Treatment of sacral insufficiency fractures (SIFs) has traditionally been conservative, but several patients have been treated with percutaneous sacroplasty. Unfortunately, in the setting of severe, bilateral SIFs, cement may not withstand shear forces present at the lumbosacral junction, and surgical hardware may not provide adequate fixation in osteoporotic, cancellous bone of the sacrum, leading to eventual pseudarthrosis. Thus, we propose a novel technique in which guidance with CT fluoroscopy allows placement of a transiliosacral bar in conjunction with sacroplasty." />
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    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">D.M. Sciubba</span>, <span class="highwire-citation-author" data-delta="1">J.-P. Wolinsky</span>, <span class="highwire-citation-author" data-delta="2">K.D. Than</span>, <span class="highwire-citation-author" data-delta="3">Z.L. Gokaslan</span>, <span class="highwire-citation-author" data-delta="4">T.F. Witham</span> and <span class="highwire-citation-author" data-delta="5">K.P. Murphy</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">September 2007,  </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">28 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(8) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">1451-1454; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata">DOI: https://doi.org/10.3174/ajnr.A0665 </span></div>
  
  
  
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        	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-volume highwire-cite-metadata">Vol. 28</span>, <span  class="highwire-cite-metadata-issue highwire-cite-metadata">Issue 8 </span><div  class="highwire-cite-metadata-pubdate highwire-cite-metadata">September 2007 </div></div>
      
      
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      <div class="highwire-cite-title">CT Fluoroscopically Guided Percutaneous Placement of Transiliosacral Rod for Sacral Insufficiency Fracture: Case Report and Technique</div>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">D.M.</span> <span class="nlm-surname">Sciubba</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">J.-P.</span> <span class="nlm-surname">Wolinsky</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">K.D.</span> <span class="nlm-surname">Than</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">Z.L.</span> <span class="nlm-surname">Gokaslan</span></span>, <span class="highwire-citation-author" data-delta="4"><span class="nlm-given-names">T.F.</span> <span class="nlm-surname">Witham</span></span>, <span class="highwire-citation-author" data-delta="5"><span class="nlm-given-names">K.P.</span> <span class="nlm-surname">Murphy</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Sep 2007, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">28 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(8) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">1451-1454; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A0665 </span></div>
  
  
  
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      <div class="highwire-cite-title">CT Fluoroscopically Guided Percutaneous Placement of Transiliosacral Rod for Sacral Insufficiency Fracture: Case Report and Technique</div>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">D.M.</span> <span class="nlm-surname">Sciubba</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">J.-P.</span> <span class="nlm-surname">Wolinsky</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">K.D.</span> <span class="nlm-surname">Than</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">Z.L.</span> <span class="nlm-surname">Gokaslan</span></span>, <span class="highwire-citation-author" data-delta="4"><span class="nlm-given-names">T.F.</span> <span class="nlm-surname">Witham</span></span>, <span class="highwire-citation-author" data-delta="5"><span class="nlm-given-names">K.P.</span> <span class="nlm-surname">Murphy</span></span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Sep 2007, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">28 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(8) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">1451-1454; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A0665 </span></div>
  
  
  
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