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Previous studies of sacroplasty in patients with osteoporotic insufficiency fractures
Needle Placement Cement Injection Complication(s) Clinical Follow-Up
Garant et al⁴ Fluoroscopy under general anesthesia. Chiba needles placed in sacral foramina. Fluoroscopy None reported Ambulatory and pain-free 9 months postprocedure
Brook et al¹ CT Guidance under general anesthesia in 2 patients. Intermittent CT Premature cement hardening Pain-free and ambulating at 8 and 16 months
Pommersheim et al³ Fluoroscopy in 2 patients. CT guidance in 1. Patients under conscious sedation. Fluoroscopy in all Cement extravasation in posterior soft tissues Pain-free at 14 and 16 weeks. One patient lost to follow-up
Deen and Nottmeier² Kyphoplasty with fluoroscopy in 2 patients. Brain LAB in one patient. Fluoroscopy in 2, Brain LAB in 1 None reported Decreased pain and increased function 3, 6, and 9 months after procedure
Butler et al⁷ CT fluoroscopy under conscious sedation in 6 patients. Fluoroscopy in 5, CT in 1 Inadequate cement distribution, venous intravasation, and extension into SI joint 2–8 weeks. Significantly reduced or eliminated pain in 4 patients
Note:—SI indicates sacroiliac.