Sacral Fractures and Sacroplasty

被引:17
作者
Cho, Charles H. [1 ,2 ]
Mathis, John M. [3 ]
Ortiz, Orlando [4 ,5 ]
机构
[1] Brigham & Womens Hosp, Dept Radiol, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Boston, MA 02115 USA
[3] Ctr Adv Imaging, Roanoke, VA 24014 USA
[4] Winthrop Univ Hosp, Dept Radiol, Mineola, NY 11501 USA
[5] SUNY Stony Brook, Sch Med, Stony Brook, NY 11794 USA
关键词
Sacral fracture; Sacroplasty; Treatment; Bone augmentation; INSUFFICIENCY FRACTURES; PERCUTANEOUS SACROPLASTY; STRESS-FRACTURES; OUTCOMES;
D O I
10.1016/j.nic.2010.02.004
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Pain from sacral insufficiency fractures or metastatic tumor to the sacrum, refractory to radiation and/or chemotherapy, can be extremely debilitating to affected patients. Conservative medical therapy with rest, limited ambulation, and pain medication has been the mainstay of treatment. Open surgical fixation is reserved for severe fracture that does not heal with rest. A minimally invasive treatment, sacroplasty, is gaining popularity and uses image-guided, percutaneous injection of surgical cement into the fracture. This article reviews the incidence, causes, diagnosis, presentation, and treatment options for sacral fractures, and describes detailed technical steps of the sacroplasty procedure.
引用
收藏
页码:179 / 186
页数:8
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