Osteoporotic fracture of the sacrum: sacroplasty and physical medecine.
BACKGROUND
Traditional treatment of sacrum osteoporotic fractures is mainly based on antalgics and rest in bed. But complications are frequent, cutaneous, respiratory, thrombotic or digestive and mortality at 1 year significant.


OBJECTIVE
We wanted to define the interest of sacroplasty when treating osteoporotic fracture of sacrum.


METHODS
We reviewed literature while studying a clinical case in an elderly patient.


RESULTS
Sacroplasty was efficient at short and mean delay to control the pain due to osteoporotic sacrum fracture. Rate of complications is low in the centers mastering the procedure.


CONCLUSIONS
Sacroplasty is of evident interest for elderly patients suffering of an osteoporotic fracture of sacrum. It reduces decubitus complications, secondary effects of antalgics and allows an early reeducation.
Thomas
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EN
Rheumatology and Physical Medicine, CHU Lapeyronie, Montpellier cedex 5, France. e-thomas@chu-montpellier.fr
Cyteval
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C
Herisson
C
C
Leonard
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L
Blotman
F
F
D000369:Aged, 80 and over; D001843:Bone Cements / Q000627:therapeutic use; D003131:Combined Modality Therapy; D000075202:Contraindications; D003952:Diagnostic Imaging; D004630:Emergencies; D005598:Fractures, Spontaneous / Q000175:diagnosis / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries / Q000601:surgery; D008297:Male; D010024:Osteoporosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000534:rehabilitation; D026741:Physical Therapy Modalities; D019904:Polymethyl Methacrylate / Q000627:therapeutic use; D011859:Radiography; D012447:Sacrum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D016103:Spinal Fractures / Q000175:diagnosis / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery / Q000628:therapy*; D054854:Vertebroplasty / Q000379:methods
D001843:Bone Cements; D019904:Polymethyl Methacrylate