title: Percutaneous augmentation of the superior pubic ramus with polymethyl methacrylate: treatment of acute traumatic and chronic insufficiency fractures.
abstract: 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.
authors.affiliation: Clinical Radiology of Oklahoma, University of Oklahoma, 610 NW 14th, Oklahoma City, OK 73103, USA. dpb@okss.com
authors.forename: Douglas P
authors.initials: DP
authors.lastname: Beall
authors.forename: Sharon L
authors.initials: SL
authors.lastname: D'Souza
authors.forename: Richard F
authors.initials: RF
authors.lastname: Costello
authors.forename: Scott D
authors.initials: SD
authors.lastname: Prater
authors.forename: Bryan L
authors.initials: BL
authors.lastname: Van Zandt
authors.forename: Hal D
authors.initials: HD
authors.lastname: Martin
authors.forename: Annette M
authors.initials: AM
authors.lastname: Stapp
mesh_terms: 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
chemical_list: D001843:Bone Cements; D019904:Polymethyl Methacrylate