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RT Journal Article
SR Electronic
T1 CT Fluoroscopically Guided Percutaneous Placement of Transiliosacral Rod for Sacral Insufficiency Fracture: Case Report and Technique
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1451
OP 1454
DO 10.3174/ajnr.A0665
VO 28
IS 8
A1 Sciubba, D.M.
A1 Wolinsky, J.-P.
A1 Than, K.D.
A1 Gokaslan, Z.L.
A1 Witham, T.F.
A1 Murphy, K.P.
YR 2007
UL http://www.ajnr.org/content/28/8/1451.abstract
AB 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.