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Percutaneous Sacroplasty under Fluoroscopic Guidance Combined with Epidurogram for Sacral Insufficiency Fracture Resulting from Metastatic Tumor and Osteoporosis
- Percutaneous Sacroplasty under Fluoroscopic Guidance Combined with Epidurogram for Sacral Insufficiency Fracture Resulting from Metastatic Tumor and Osteoporosis
- Cho, Sooyoung; Park, Hahck Soo; Kim, Dong Yeon; Kim, Chi Hyo; Chung, Rack Kyung; Kim, Youn Jin
- Ewha Authors
- 김치효; 정락경; 김동연; 김윤진; 박학수; 조수영
- SCOPUS Author ID
- 김치효; 정락경; 김동연; 김윤진; 박학수
- Issue Date
- Journal Title
- PAIN PHYSICIAN
- vol. 19, no. 3, pp. E473 - E480
- Fluoroscopy-guided; sacral cementoplasty; sacral insufficiency fractures; sacral metastasis
- AM SOC INTERVENTIONAL PAIN PHYSICIANS
- SCIE; SCOPUS
- 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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