Outcome of long-axis percutaneous sacroplasty for the treatment of sacral insufficiency fractures with a radiofrequency-induced, high-viscosity bone cement

被引:26
作者
Eichler, Katrin [1 ]
Zangos, Stephan [1 ]
Mack, Martin G. [2 ]
Marzi, Ingo [3 ]
Vogl, Thomas J. [1 ]
机构
[1] Goethe Univ Frankfurt, Inst Diagnost & Intervent Radiol, D-60590 Frankfurt, Germany
[2] Radiol Munich, Munich, Germany
[3] Goethe Univ Frankfurt, Dept Trauma Hand & Reconstruct Surg, D-60054 Frankfurt, Germany
关键词
Sacroplasty; Radiofrequency; Osteoporosis; VERTEBRAL AUGMENTATION; KYPHOPLASTY; PAIN;
D O I
10.1007/s00256-013-1811-4
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Our goal was to assess the technical results in patients who underwent long-axis sacroplasty for the treatment of sacral insufficiency fractures (SIF) by radiofrequency-induced high-viscosity bone cement augmentation. Twelve patients with bilateral sacral fractures were treated by augmentation with radiofrequency-activated, high-viscosity polymethylmethacrylate (PMMA) bone cement under local anesthesia. CT-guided sacroplasty was performed by using a long-axis approach through a single entry point. Thirty-six vertebrae were treated in 12 sessions under a combination of CT and fluoroscopic guidance using a bilateral access and a cavity-creating osteotome prior to remote-controlled, hydraulically driven cement injection. The visual analogue scale (VAS) score before sacroplasty and at 1 and 3 months after the treatment was obtained. PMMA leaks were evaluated retrospectively using the post-interventional CT. The mean amount of high-viscosity PMMA injected per patient was 7.8 ml. No major adverse events were observed. In the first 4 days after the procedure, the mean VAS score decreased from 8.1 +/- 1.9 to mean 3.1 +/- 1.2 and was followed by a gradual but continuous decrease throughout the rest of the follow-up period at 24 weeks (mean 2.2 +/- 1.1) and 48 weeks (mean 2.1 +/- 1.4). CT fluoroscopy-guided sacral augmentation was safe and effective in all 12 patients with osteoporotic SIF.
引用
收藏
页码:493 / 498
页数:6
相关论文
共 25 条
[1]
Fluoroscopic radiation exposure of the kyphoplasty patient [J].
Boszczyk, BM ;
Bierschneider, M ;
Panzer, S ;
Panzer, W ;
Harstall, R ;
Schmid, K ;
Jaksche, H .
EUROPEAN SPINE JOURNAL, 2006, 15 (03) :347-355
[2]
Percutaneous sacroplasty for the treatment of sacral insufficiency fractures [J].
Butler, CL ;
Given, CA ;
Michel, SJ ;
Tibbs, PA .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2005, 184 (06) :1956-1959
[3]
Therapeutic Considerations of Percutaneous Sacroplasty for the Sacral Insufficiency Fracture [J].
Choi, Kyung-Mi ;
Song, Joon-Ho ;
Ahn, Sung-Ki ;
Choi, Hyun-Chul .
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, 2010, 47 (01) :58-63
[4]
PMMA cementoplasty in symptomatic metastatic lesions of the S1 vertebral body [J].
Dehdashti, AR ;
Martin, JB ;
Jean, B ;
Rüfenacht, DA .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2000, 23 (03) :235-237
[5]
DFine Radiofrequenz kyphoplastie (RFK) - Kyphoplasty with ultra-high viscosity cement. [J].
Elgeti, F. A. ;
Marnitz, T. ;
Kroencke, T. J. ;
Gebauer, B. .
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 2010, 182 (09) :803-805
[6]
Finiels H, 1997, PRESSE MED, V26, P1568
[7]
Sacroplasty: A new treatment for sacral insufficiency fracture [J].
Garant, M .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2002, 13 (12) :1265-1267
[8]
Georgy Bassem A, 2007, Pain Physician, V10, P673
[9]
CT-guided sacroplasty for the treatment of sacral insufficiency fractures [J].
Heron, J. ;
Connell, D. A. ;
James, S. L. J. .
CLINICAL RADIOLOGY, 2007, 62 (11) :1094-1100
[10]
Outcome of long-axis percutaneous sacroplasty for the treatment of sacral insufficiency fractures [J].
Kamel, Ehab M. ;
Binaghi, Stefano ;
Guntern, Daniel ;
Mouhsine, Elyazid ;
Schnyder, Pierre ;
Theumann, Nicolas .
EUROPEAN RADIOLOGY, 2009, 19 (12) :3002-3007