title: Osteoporotic fracture of the sacrum: sacroplasty and physical medecine.
abstract: 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.
authors.affiliation: Rheumatology and Physical Medicine, CHU Lapeyronie, Montpellier cedex 5, France. e-thomas@chu-montpellier.fr
authors.forename: E N
authors.initials: EN
authors.lastname: Thomas
authors.forename: C
authors.initials: C
authors.lastname: Cyteval
authors.forename: C
authors.initials: C
authors.lastname: Herisson
authors.forename: L
authors.initials: L
authors.lastname: Leonard
authors.forename: F
authors.initials: F
authors.lastname: Blotman
mesh_terms: 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
chemical_list: D001843:Bone Cements; D019904:Polymethyl Methacrylate