Percutaneous Sacroplasty : Effectiveness and Long-Term Outcome Predictors

Area of Science:

• Orthopedics
• Radiology
• Pain Management

Background:

• Sacral insufficiency fractures are a common cause of pain and disability.
• Percutaneous sacroplasty (PSP) is a minimally invasive procedure used to treat these fractures.
• Predictors of long-term outcomes after PSP require further investigation.

Purpose of the Study:

• To evaluate the effectiveness of percutaneous sacroplasty (PSP) for sacral insufficiency fractures.
• To identify predictors of long-term outcomes following PSP.

Main Methods:

• A single-center study of 40 patients with sacral insufficiency fractures.
• Utilized short-axis technique with C-arm flat-panel detector CT guidance.
• Assessed short-term outcomes (pain scores, opioid use) and long-term outcomes (patient satisfaction via NASS index).

Main Results:

• Technical success rate of 97.5% with minimal complications.
• Positive patient satisfaction reported in 9 out of 12 interviewed patients.
• Poor outcomes were associated with thoracolumbar compression fractures, facet joint arthrosis, and spinal stenosis.

Conclusions:

• Percutaneous sacroplasty is an effective treatment for sacral insufficiency fractures with favorable long-term results.
• Combined thoracolumbar compression fractures and degenerative lumbar pathologies may indicate a poorer prognosis.