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PT  - JOURNAL ARTICLE
AU  - Strub, W.M.
AU  - Hoffmann, M.
AU  - Ernst, R.J.
AU  - Bulas, R.V.
TI  - Sacroplasty by CT and Fluoroscopic Guidance: Is the Procedure Right for Your Patient?
DP  - 2007 Jan 01
TA  - American Journal of Neuroradiology
PG  - 38--41
VI  - 28
IP  - 1
4099  - http://www.ajnr.org/content/28/1/38.short
4100  - http://www.ajnr.org/content/28/1/38.full
SO  - Am. J. Neuroradiol.2007 Jan 01; 28
AB  - BACKGROUND AND PURPOSE: Sacral insufficiency fractures are an infrequent but often disabling cause of severe low back pain. We report our results of a sacroplasty technique, using CT for needle placement and fluoroscopy to monitor the polymethylmethacrylate injection in a group of patients with sacral insufficiency fractures.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.