title: Percutaneous Sacroplasty for Painful Bone Metastases: A Case Report.
abstract: The occurrence of bone metastases is common in patients with advanced cancer. The literature supports percutaneous vertebroplasty and kyphoplasty as minimally invasive procedures to relieve pain and improve quality of life for selected patients with disabling pain from pathological vertebral fractures secondary to bone metastases.
  
  
  
  We describe a case of a 71-year-old patient with castrate-resistant metastatic prostate cancer who underwent sacroplasty for painful sacral metastases. The patient had previously been treated with maximally tolerated analgesics and anticancer therapies including systemic anticancer treatments and local radiotherapy. After sacroplasty, he experienced significant pain reduction and improvement in mobility and function.
  
  
  
  This case and recent literature demonstrate positive outcomes of sacroplasty in terms of pain reduction and improved mobility. Further research is warranted to establish the role of such minimally invasive percutaneous procedures for pain management in cancer patients.
authors.affiliation: Supportive and Palliative Care Unit, Monash Health, Melbourne, Victoria, Australia.|Monash University, Melbourne, Victoria, Australia.|Northern Health, Melbourne, Victoria, Australia.
authors.forename: Jaclyn
authors.initials: J
authors.lastname: Yoong
authors.affiliation: Monash University, Melbourne, Victoria, Australia.|Interventional Neuroradiology Unit, Monash Imaging, Monash Health, Melbourne, Victoria, Australia.
authors.forename: Ronil Vikesh
authors.initials: RV
authors.lastname: Chandra
authors.affiliation: Supportive and Palliative Care Unit, Monash Health, Melbourne, Victoria, Australia.|Monash University, Melbourne, Victoria, Australia.|Eastern Health, Melbourne, Victoria, Australia.
authors.forename: Leeroy
authors.initials: L
authors.lastname: William
authors.affiliation: Supportive and Palliative Care Unit, Monash Health, Melbourne, Victoria, Australia.|Monash University, Melbourne, Victoria, Australia.
authors.forename: Michael
authors.initials: M
authors.lastname: Franco
authors.affiliation: Monash University, Melbourne, Victoria, Australia.|Department of Neurosurgery, Monash Health, Melbourne, Victoria, Australia.
authors.forename: Tony
authors.initials: T
authors.lastname: Goldschlager
authors.affiliation: Supportive and Palliative Care Unit, Monash Health, Melbourne, Victoria, Australia.|Monash University, Melbourne, Victoria, Australia.|Calvary Health Care Bethlehem, Melbourne, Victoria, Australia.
authors.forename: Fiona
authors.initials: F
authors.lastname: Runacres
authors.affiliation: Supportive and Palliative Care Unit, Monash Health, Melbourne, Victoria, Australia.|Monash University, Melbourne, Victoria, Australia.|Eastern Palliative Care, Melbourne, Victoria, Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Poon
mesh_terms: D000368:Aged; D000700:Analgesics / Q000627:therapeutic use; D001859:Bone Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary / Q000601:surgery*; D006801:Humans; D058498:Kyphoplasty / Q000379:methods; D008297:Male; D059408:Pain Management / Q000379:methods; D010147:Pain Measurement / Q000379:methods; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D011788:Quality of Life; D054854:Vertebroplasty / Q000379:methods*
chemical_list: D000700:Analgesics
keywords: analgesia; low back pain; radiology