Three-dimensional C-arm computed tomography-guided sacroplasty for the treatment of sacral body fracture.
METHODS
Case report.


OBJECTIVE
To report our results of a sacroplasty technique, using 3-dimensional C-arm CT for the treatment of sacral body fracture.


BACKGROUND
Sacroplasty may provide symptomatic relief and hasten recovery in the treatment of sacral insufficiency fractures. To our knowledge, there is no case report in the literature describing the application of sacroplasty for the treatment of sacral body fracture. We present a case of patient who had percutaneous sacroplasty for sacral body fracture and sacral alar fracture under 3-dimensional C-arm CT guidance and discuss the clinical results and technical considerations.


METHODS
The procedure included a standard prone positioning of the patient and the area to be treated was prepared in a strictly sterile manner, and a local anesthesia was used. After a small skin incision, an 11-gauge vertebroplasty needle was positioned at the entry point in the sacrum. Then, the needle was inclined, directed, and advanced from the posterior aspect to the anterior aspect of the sacral vertebral body. PMMA cement was incrementally introduced in 0.5 mL aliquots and the volume of PMMA cement injected was total 4 mL. Precise needle placement and PMMA cement injection was performed under the 3-dimensional C-arm CT system and the right sacral alar region was performed in a similar manner.


RESULTS
There were no peri-procedural complications occurred and the patient experienced an immediate and substantial pain relief that was persistent during a 12-month follow-up.


CONCLUSIONS
3-dimensional C-arm CT-guided sacroplasty is a safe, practical, and effective solution to treatment of sacral body fracture.
Kang
Sang-Soo
SS
Department of Anesthesiology and Pain Medicine, Kang-Dong Sacred Heart Hospital, Hallym University Medical Center, Seoul, Republic of Korea.
Kim
Hyun-Cheul
HC
Park
Joon-Hee
JH
Hong
Sung-Jun
SJ
Kim
Il-Seok
IS
Shin
Keun-Man
KM
D000368:Aged; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D012447:Sacrum / Q000293:injuries*; D016103:Spinal Fractures / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D054854:Vertebroplasty / Q000379:methods*