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Sacral Fractures and Sacroplasty.
Wende Nocton Gibbs1, Amish Doshi2
1Neuroradiology Section, Department of Radiology, Mayo Clinic Arizona, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.
Neuroimaging Clinics of North America
|November 4, 2019
Summary
Sacral fractures, often missed on X-rays, are increasingly diagnosed with CT scans. Sacroplasty offers a safe and effective minimally invasive treatment for pain relief in sacral fracture patients.
Area of Science:
- Orthopedic surgery
- Radiology
- Trauma care
Background:
- Sacral fractures stem from high-impact trauma or insufficiency/pathologic causes like osteoporosis or malignancy.
- Computed tomography (CT) significantly enhances sacral fracture detection, often revealing fractures missed on initial radiographs.
- Accurate classification of sacral fractures is crucial for effective communication and patient management.
Purpose of the Study:
- To highlight the increasing diagnosis of sacral fractures due to advanced imaging.
- To emphasize the importance of current fracture classification systems for radiologists.
- To present sacroplasty as a viable treatment option for sacral fractures.
Main Methods:
- Review of diagnostic imaging trends in sacral fractures, particularly the role of CT.
- Discussion of current sacral fracture classification systems.
- Evaluation of sacroplasty as a therapeutic intervention.
Main Results:
- CT has led to a substantial increase in the diagnosis of sacral fractures.
- Current classification systems improve radiologist-clinician communication and patient care.
- Sacroplasty demonstrates safety and efficacy in providing rapid, durable pain relief for sacral fractures.
Conclusions:
- Radiologists must be proficient with current sacral fracture classifications for optimal patient outcomes.
- Sacroplasty is a safe, minimally invasive procedure with a low complication rate.
- This technique offers significant pain relief for various sacral fracture types.
