Percutaneous augmentation of the superior pubic ramus with polymethyl methacrylate: treatment of acute traumatic and chronic insufficiency fractures.
The injection of polymethylmethacrylate (PMMA) is a minimally invasive image-guided procedure that is typically used to treat vertebral body fractures due to osteoporosis or neoplastic involvement. The injection of PMMA into various other locations including the sacrum, acetabulum, pedicles, femur and tibia has been reported previously, and these procedures have, overall, been highly effective at alleviating pain and discomfort. Although the injection of PMMA into the vertebral body is a very common procedure that has been performed for over 2 decades for the percutaneous treatment of vertebral body fractures, the percutaneous injection of PMMA has not been reported in the English literature as treatment for superior pubic ramus fractures. We report the percutaneous treatment of an acute superior pubic ramus fracture and of a chronic insufficiency fracture of the superior pubic ramus using a parasymphyseal approach to access the region of injury.
Beall
Douglas P
DP
Clinical Radiology of Oklahoma, University of Oklahoma, 610 NW 14th, Oklahoma City, OK 73103, USA. dpb@okss.com
D'Souza
Sharon L
SL
Costello
Richard F
RF
Prater
Scott D
SD
Van Zandt
Bryan L
BL
Martin
Hal D
HD
Stapp
Annette M
AM
D000208:Acute Disease; D000368:Aged; D001843:Bone Cements / Q000627:therapeutic use*; D050723:Fractures, Bone / Q000628:therapy*; D006801:Humans; D008297:Male; D019904:Polymethyl Methacrylate / Q000627:therapeutic use*; D011630:Pubic Bone / Q000187:drug effects / Q000293:injuries*; D016896:Treatment Outcome
D001843:Bone Cements; D019904:Polymethyl Methacrylate