Simon JI, Surrey DE, Kitei P, Sonagere M, Gehret J, Young G, Smoger D. Successful Repeat Sacroplasty in a Patient With a Recurrent Sacral Insufficiency Fracture: A Case Presentation.
PM R 2017;
9:1171-1174. [PMID:
28433829 DOI:
10.1016/j.pmrj.2017.04.002]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Revised: 03/26/2017] [Accepted: 04/08/2017] [Indexed: 12/12/2022]
Abstract
The standard of care for treatment of sacral insufficiency fracture (SIF) remains conservative management with limited weight-bearing and analgesics, as most fractures heal within 12 weeks. For those who fail to respond to conservative therapy, are immobile, or cannot tolerate the pain despite analgesic therapy, as well as those who do not improve with time, rest, or activity modification, minimally invasive surgery with percutaneous transverse screw fixation across the fracture is effective. However, a less invasive procedure, percutaneous sacroplasty, may be an option for potential rapid pain reduction. This is a novel report of repeat sacroplasty in a patient with a recurrent SIF to the same anatomical area as a previously treated SIF. To our knowledge, this is the first report of such an occurrence.
LEVEL OF EVIDENCE
Not applicable.
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