Sacroplasty for Sacral Insufficiency Fractures: Narrative Literature Review on Patient Selection, Technical Approaches, and Outcomes.
Manjot SinghMariah Balmaceno-CrissAshley KnebelMichael KuharskiItala SakrMohammad DaherChristopher L McDonaldBassel G DieboJohn K CzerweinAlan H DanielsPublished in: Journal of clinical medicine (2024)
Sacral insufficiency fractures commonly affect elderly women with osteoporosis and can cause debilitating lower back pain. First line management is often with conservative measures such as early mobilization, multimodal pain management, and osteoporosis management. If non-operative management fails, sacroplasty is a minimally invasive intervention that may be pursued. Candidates for sacroplasty are patients with persistent pain, inability to tolerate immobilization, or patients with low bone mineral density. Before undergoing sacroplasty, patients' bone health should be optimized with pharmacotherapy. Anabolic agents prior to or in conjunction with sacroplasty have been shown to improve patient outcomes. Sacroplasty can be safely performed through a number of techniques: short-axis, long-axis, coaxial, transiliac, interpedicular, and balloon-assisted. The procedure has been demonstrated to rapidly and durably reduce pain and improve mobility, with little risk of complications. This article aims to provide a narrative literature review of sacroplasty including, patient selection and optimization, the various technical approaches, and short and long-term outcomes.
Keyphrases
- bone mineral density
- pain management
- postmenopausal women
- case report
- chronic pain
- minimally invasive
- body composition
- end stage renal disease
- newly diagnosed
- healthcare
- public health
- mental health
- randomized controlled trial
- ejection fraction
- chronic kidney disease
- neuropathic pain
- peritoneal dialysis
- skeletal muscle
- adipose tissue
- risk assessment
- metabolic syndrome
- health information
- weight loss
- prognostic factors