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Therapeutic Considerations of Percutaneous Sacroplasty for the Sacral Insufficiency Fracture

  • Choi, Kyung-Mi (Department of Neurosurgery, Sacred Heart Hospital, College of Medicine, The Hallym University of Korea) ;
  • Song, Joon-Ho (Department of Neurosurgery, Sacred Heart Hospital, College of Medicine, The Hallym University of Korea) ;
  • Ahn, Sung-Ki (Department of Neurosurgery, Sacred Heart Hospital, College of Medicine, The Hallym University of Korea) ;
  • Choi, Hyun-Chul (Department of Neurosurgery, Sacred Heart Hospital, College of Medicine, The Hallym University of Korea)
  • 발행 : 2010.01.28

초록

Sacral insufficiency fracture is a debilitating injury not easily found in general radiologic examinations and is rarely diagnosed, since its symptoms are obscure. It is known to frequently occur in patients with osteoporosis, but the treatment has not yet been established and various kinds of treatment methods are being attempted. Sacroplasty is sometimes performed by applying percutaneous vertebroplasty which is known to be a less invasive treatment. Since the course of diagnosis of sacral insufficiency fracture is difficult and clear guidelines for treatments have not yet been established, many spine surgeons fail to diagnose patients or speculate on treatment methods. We report our experience in diagnosing a sacral insufficiency fracture in a 54-year-old healthy female patient using MRI and treating her with sacroplasty. From a therapeutic point of view, we then cover the usefulness, effects and characteristics relating to the complications of sacroplasty, along with literature review.

키워드

참고문헌

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피인용 문헌

  1. Spinous process fractures in osteoporotic thoracolumbar vertebral fractures vol.84, pp.1007, 2010, https://doi.org/10.1259/bjr/32143781
  2. Percutaneous Anterolateral Vertebroplasty for a Myelomatous Pathologic Fracture of the Subaxial Cervical Spine: A Case Report vol.8, pp.3, 2011, https://doi.org/10.14245/kjs.2011.8.3.225
  3. Safety and effectiveness of percutaneous sacroplasty: a single-centre experience in 58 consecutive patients with tumours or osteoporotic insufficient fractures treated under fluoroscopic guidance vol.23, pp.10, 2010, https://doi.org/10.1007/s00330-013-2881-3
  4. Percutaneous Iliosacral Screw Fixation with Cement Augmentation in Sacral Insufficient Fracture - A Case Report - vol.25, pp.4, 2010, https://doi.org/10.5371/hp.2013.25.4.306
  5. Outcome of long-axis percutaneous sacroplasty for the treatment of sacral insufficiency fractures with a radiofrequency-induced, high-viscosity bone cement vol.43, pp.4, 2010, https://doi.org/10.1007/s00256-013-1811-4
  6. Effects of Percutaneous Sacroplasty on Pain and Mobility in Sacral Insufficiency Fracture vol.60, pp.1, 2010, https://doi.org/10.3340/jkns.2016.0505.010
  7. Successful Repeat Sacroplasty in a Patient With a Recurrent Sacral Insufficiency Fracture: A Case Presentation vol.9, pp.11, 2010, https://doi.org/10.1016/j.pmrj.2017.04.002
  8. Combination of long- and short-axis alar sacroplasty techniques under fluoroscopic guidance for osteoporotic sacral insufficiency fracture vol.16, pp.1, 2010, https://doi.org/10.1186/s13018-021-02409-2