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Percutaneous Sacroplasty under Fluoroscopic Guidance Combined with Epidurogram for Sacral Insufficiency Fracture Resulting from Metastatic Tumor and Osteoporosis

Title
Percutaneous Sacroplasty under Fluoroscopic Guidance Combined with Epidurogram for Sacral Insufficiency Fracture Resulting from Metastatic Tumor and Osteoporosis
Authors
Cho, SooyoungPark, Hahck SooKim, Dong YeonKim, Chi HyoChung, Rack KyungKim, Youn Jin
Ewha Authors
김치효정락경김동연김윤진박학수조수영
SCOPUS Author ID
김치효scopus; 정락경scopus; 김동연scopus; 김윤진scopus; 박학수scopus
Issue Date
2016
Journal Title
PAIN PHYSICIAN
ISSN
1533-3159JCR Link
Citation
vol. 19, no. 3, pp. E473 - E480
Keywords
Fluoroscopy-guidedsacral cementoplastysacral insufficiency fracturessacral metastasis
Publisher
AM SOC INTERVENTIONAL PAIN PHYSICIANS
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Sacral insufficiency fracture resulting from a metastatic tumor or an osteoporotic fracture causes severe low back pain and radiating pain mass effect on neural foramen and chemical irritants. Percutaneous sacroplasty is one of the effective treatment modalities for sacral insufficiency fracture and its pain. Because of the structural complexity of the sacrum, obtaining an epidurogram of the S1 and S2 nerve roots before the start of the procedure can be helpful to avoid nerve injury. We present 2 successful cases of percutaneous sacroplasty performed under fluoroscopic guidance. A 65-year- old man with sacral metastasis from stomach cancer and a 52-year-old man with sacral insufficiency fracture were suffering from severe buttock pain and radiating pain. After epidurography of the S1 and S2 nerve roots with steroid and contrast dye, percutaneous sacroplasty with fluoroscopy on the S1 or S2 body and alae was performed on both patients. There was no cement leakage or any other major complications. Both patients experienced significant reduction in pain.
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의학전문대학원 > 의학과 > Journal papers
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