title: Sacral kyphoplasty for the treatment of painful sacral insufficiency fractures and metastases.
abstract: BACKGROUND
  Sacral insufficiency fractures and metastases are a source of severe intractable pain, with limited therapeutic options. Sacroplasty has demonstrable efficacy and safety; sacral kyphoplasty, however, is rarely reported.
  
  
  OBJECTIVE
  To evaluate the safety and efficacy of sacral kyphoplasty for sacral insufficiency fractures and metastases.
  
  
  METHODS
  Retrospective, with long-term follow-up; rural community-based practice.
  
  
  METHODS
  Patients with sacral insufficiency fractures and metastases.
  
  
  METHODS
  Numerical pain rating scale, opioid equivalent usage. SELF-REPORT MEASURE: Numerical pain rating scale. FUNCTIONAL MEASURE: Opioid equivalent consumption.
  
  
  METHODS
  Retrospective analysis.
  
  
  RESULTS
  Statistically significant improvement in pain; overall, an improvement in opioid consumption.
  
  
  CONCLUSIONS
  Sacral kyphoplasty appears to be a safe and efficacious procedure, comparable to sacroplasty, in the treatment of SIFs and sacral metastases.
authors.affiliation: Department of Anesthesiology, Guthrie Clinic-Big Flats, 31 Arnot Rd, Horseheads, NY 14845, USA. rinoo_shah@yahoo.com
authors.forename: Rinoo V
authors.initials: RV
authors.lastname: Shah
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000701:Analgesics, Opioid / Q000627:therapeutic use; D001416:Back Pain / Q000188:drug therapy / Q000601:surgery; D001859:Bone Neoplasms / Q000556:secondary / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D015775:Fractures, Stress / Q000601:surgery*; D006801:Humans; D058498:Kyphoplasty / Q000379:methods*; D010147:Pain Measurement; D012189:Retrospective Studies; D012447:Sacrum / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D016103:Spinal Fractures / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D000701:Analgesics, Opioid