Percutaneous Imaging-Guided Screw Fixation of Osteoporotic Transverse Fractures of the Decrease Sacrum with Cement Augmentation: Report of two Instances.
Cardiovasc Intervent Radiol. 2017 Jul;40(7):1105-1111
Authors: Garnon J, Koch G, Ramamurthy N, Bauones S, Caudrelier J, Tsoumakidou G, Cazzato RL, Gangi A
Osteoporotic fractures of the sacrum often contain the sacral ala and may be managed with percutaneous cementoplasty if conservative remedy failed to attain bone consolidation. However, remoted transverse fractures of the bottom sacrum are extra uncommon, with little literature specializing in their administration within the osteoporotic inhabitants. If pseudoarthrosis happens on this location, sacroplasty shouldn’t be an optimum therapeutic choice due to the poor biomechanical resistance of cement to multi-directional stresses. Therefore, we report two circumstances of power unhealed transverse fractures of the bottom sacrum efficiently managed with percutaneous image-guided screw fixation augmented with cement injection. Eventually follow-up accessible, each sufferers skilled full ache aid, with out evidences of failure of the osteosynthesis on CT-scan controls.
PMID: 28357574 [PubMed – indexed for MEDLINE]