Clinical outcomes of sacroplasty in sacral insufficiency fractures: a review of the literature

Bayley, Edward; Srinivas, Shreya; Boszczyk, Bronek M.

doi:10.1007/s00586-009-1048-z

Cited by 99 publications

(58 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Presently there are many techniques of sacroplasty differing in surgical approach, with or without balloon and different cement volumes. A review of Bayley et al showed the significant pain reduction after sacroplasty, this was also seen in our first results immediately postoperatively [13]. A biomechanical study of Richards et al showed that this technique does not restore the strength or stiffness of the sacrum regardless of the volume or location of cement [14].…”

Section: Discussionsupporting

confidence: 54%

Cement augmentation of the navigated iliosacral screw in the treatment of insufficiency fractures of the sacrum. A new method using modified implants

Wähnert

Raschke

Fuchs

2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose Pelvis ring fractures of geriatric patients are currently a serious problem in orthopedic and trauma surgery. One controversy that remains is the insufficiency fracture of the sacrum with treatment options ranging from conservative to operative. We modified standard 7.3-mm screws with additional perforations at the tip to allow cement injection trough the screw to improve implant anchorage. Method We describe a new method of treatment of sacral insufficiency fractures. We use modified cannulated 7.3-mm screws (Synthes) with additional perforations at the screw tip. This allows the implant augmentation after proper implant positioning and contrast medium instillation for leakage detection. Results All patients (12 female) treated this way, are allowed to weight bear as tolerated immediately after surgery. The pain level (measured by the visual analog scale-VAS) was significantly reduced due to surgery (mean 8.2 pre-operatively, mean 2.6 postoperatively), the pain medication could be reduced rapidly. Conclusion The described procedure for the treatment of sacral insufficiency fractures has the potential to increase the safety of cement injection into the sacrum because of the possibility of contrast agent instillation prior to cement injection. Furthermore, the amount of cement can be reduced and additional stability can be attained due to iliosacral screw osteosynthesis compared to sacroplasty.

show abstract

Section: Discussionsupporting

confidence: 54%

Cement augmentation of the navigated iliosacral screw in the treatment of insufficiency fractures of the sacrum. A new method using modified implants

Wähnert

Raschke

Fuchs

2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…In the long-axis technique, a long trace is passed along the sacral wing in the caudocephal direction; in the short-axis technique, a posterior-anterior approach is used, with a trajectory similar to that of a sacral wing screw. It was reported that in the long-axis technique, PMMA can be directly injected along the fracture line, but the procedure is associated with a potential risk of PMMA leakage into the sacral foramen and perforation of the anterior cortex (3,4,6,24,21). It is reported that the lateral zone of the sacrum is the safest zone for sacroplasty (1,11).…”

Section: Discussionmentioning

confidence: 99%

Robotic assisted sacroplasty: a case report

Önen

Şi̇mşek²,

Naderi³

2013

Turkish Neurosurgery

View full text Add to dashboard Cite

AIM: Sacral insufficiency fracture is an important cause of lower back and groin pain among the osteoporotic population. Diagnosis and treatment of SIFs are challenging. Currently, surgical treatment includes sacroplasty under C-arm fluoroscopy or computed tomography. Both techniques have a risk of accuracy and high radiation exposure. A sacral insufficiency fracture patient treated using robotic assisted surgery is presented and present literature is discussed. METHOD:A bilateral sacral insufficiency fracture patient with an additional L5 osteoporotic vertebra fracture is treated by bilateral percutaneous vertebroplasty using robotic assisted surgery. RESULTS:Robotic assisted surgery provided less x-ray exposure to the patient and the surgeon with additional accuracy and comfort. CONCLUSION:Robotic assisted surgery in treatment of sacral insufficiency fracture can be an important alternative method.

show abstract

“…Girişimsel radyolojide sakral yetmezlik fraktürlerinde sement ile sakroplasti hızlı ağrı palyasyonu sağladığı için uygun vakalarda uygulanmaktadır (14).…”

Section: Minimal İnvaziv İşlemlerunclassified

Radyoterapiye bağlı pelvik yetmezlik kırığında tanıdan tedaviye multidisipliner yönetim

Alanyalı¹,

Duran²,

Argın³

et al. 2017

Ege Tıp Dergisi

View full text Add to dashboard Cite

ÖzPelvik yetmezlik kırığı (PYK), pelvik bölge malignitesi nedeniyle uygulanan radyoterapi (RT) sonrası %30'lara varan oranlarda ve de RT'den sonraki ilk 1-2 yıl içerisinde gözlenen bir klinik durumdur. İleri radyolojik incelemeler ile metastazın ekartasyonu ve tanının doğrulanması önem taşımakta olup, en duyarlı yöntem pelvik manyetik rezonans görüntülemedir. PYK'nin tanı ve tedavisinde radyasyon onkoloğu, radyolog, fizik tedavi ve rehabilitasyon uzmanı ve ortopedi hekiminin de dahil olduğu multidisipliner yönetim gerekmektedir. Olgular tümüyle asemptomatik olabileceği gibi ciddi kalça ağrısı ile de başvurabilirler. Tedavide ağrı tedavisi, yük vermemek, D vitamini replasmanını içeren konservatif yöntemler kullanılmaktadır. Bu yazıda, PYK risk faktörleri, RT ile ilişkisi, tanı ve tedavi yöntemlerine değinilmiştir.Anahtar Sözcükler: Pelvik yetmezlik kırığı, radyoterapi. Abstract Pelvic insufficiency fractures (PIF) is a clinical situation observed in approximately

show abstract

Clinical outcomes of sacroplasty in sacral insufficiency fractures: a review of the literature

Abstract: Sacral insufficiency fractures (SIFs) are an increasingly recognised cause of back pain in the elderly.

Cited by 99 publications

References 28 publications

Cement augmentation of the navigated iliosacral screw in the treatment of insufficiency fractures of the sacrum. A new method using modified implants

Cement augmentation of the navigated iliosacral screw in the treatment of insufficiency fractures of the sacrum. A new method using modified implants

Robotic assisted sacroplasty: a case report

Radyoterapiye bağlı pelvik yetmezlik kırığında tanıdan tedaviye multidisipliner yönetim

Contact Info

Product

Resources

About