Sacroplasty for sacral insufficiency fractures

Background: Pelvic insufficiency fractures are an overlooked cause of back pain in elderly. Aim of the study: To evaluate the efficacy and safety of sacroplasty as a management of sacral insufficiency fractures. Patients and method: This study included 8 patients suffering from severe lower back pain due to sacral insufficiency fracture. Sacroplasty was done under fluoroscopy and CT guidance. Pain before and after the procedure was assessed by verbal numeric rating scale and also the performance status was assessed using the Eastern Cooperative Oncology Group score. Results: All the patients reported decreased pain score with a mean of 5.625. 7 Patients showed improved performance status and one patient remained the same. In only one case we had leakage within the soft tissue of pelvis anteriorly that did not have clinical consequences. Conclusion: Sacroplasy is an effective and safe method to decrease pain resulting from sacral insufficiency fractures. It also improves performance status of patients. Dual guidance by CT and fluoroscopy is the best choice for proper and safe technique.