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

来源：

NEUROIMAGING CLINICS OF NORTH AMERICA | 2010年 / 20卷 / 02期

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

页码：179 / 186

页数：8

共 27 条

[1] Abdominal sacral resection for posterior pelvic recurrence of rectal carcinoma: Analyses of prognostic factors and recurrence patterns [J].

Akasu, Takayuki ;

Yamaguchi, Takashi ;

Fujimoto, Yoshiya ;

Ishiguro, Seiji ;

Yamamoto, Seiichiro ;

Fujita, Shin ;

Moriya, Yoshihiro .

ANNALS OF SURGICAL ONCOLOGY, 2007, 14 (01) :74-83

[2]

Aretxabala I, 2000, CLIN RHEUMATOL, V19, P399

[3] The controversy surrounding sacral insufficiency fractures - To ambulate or not to ambulate? [J].

Babayev, M ;

Lachmann, E ;

Nagler, W .

AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2000, 79 (04) :404-409

[4]

BRAHME SK, 1990, SKELETAL RADIOL, V19, P489

[5] Percutaneous sacroplasty for the treatment of sacral insufficiency fractures [J].

Butler, CL ;

Given, CA ;

Michel, SJ ;

Tibbs, PA .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2005, 184 (06) :1956-1959

[6] Diffusion-weighted magnetic resonance imaging of sacral insufficiency fractures [J].

Byun, Woo Mok ;

Jang, Han Won ;

Kim, Sang Woo ;

Jang, Sung Ho ;

Ahn, Sang Ho ;

Ahn, Myun Whan .

SPINE, 2007, 32 (26) :E820-E824

[7]

Cho CH, 2010, IMAGE-GUIDED SPINE INTERVENTIONS, SECOND EDITION, P355, DOI 10.1007/978-1-4419-0352-5_16

[8] PARASYMPHYSEAL AND ASSOCIATED INSUFFICIENCY FRACTURES OF THE PELVIS AND SACRUM [J].

DAVIES, AM ;

EVANS, NS ;

STRUTHERS, GR .

BRITISH JOURNAL OF RADIOLOGY, 1988, 61 (722) :103-108

[9] Percutaneous sacroplasty for osteoporotic sacral insufficiency fractures: a prospective, multicenter, observational pilot study [J].

Frey, Michael E. ;

DePalma, Michael J. ;

Cifu, David X. ;

Bhagia, Sarjoo M. ;

Carne, William ;

Daitch, Jonathan S. .

SPINE JOURNAL, 2008, 8 (02) :367-373

[10] SACRAL INSUFFICIENCY FRACTURES IN THE ELDERLY [J].

GOTISGRAHAM, I ;

MCGUIGAN, L ;

DIAMOND, T ;

PORTEK, I ;

QUINN, R ;

STURGESS, A ;

TULLOCH, R .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1994, 76B (06) :882-886

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