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Related Experiment Video

Updated: Jan 17, 2026

A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
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Fluoroscopic guided percutaneous sacroplasty utilizing a single curved needle: technical notes.

Teymour Sadrieh1, Anas S Al-Smadi2, Ali Shaibani2

  • 1Des Moines University College of Osteopathic Medicine, West Des Moines, IA, United States of America.

Clinical Imaging
|September 16, 2025
PubMed
Summary

A novel curved needle technique for percutaneous sacroplasty effectively treats sacral insufficiency fractures. This minimally invasive approach offers significant pain relief and functional improvement with reduced procedural time and radiation exposure.

Keywords:
Curved needleInterventional radiologySacral insufficiency fractureSacroplastySpineVertebroplasty

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Area of Science:

  • Orthopedic surgery
  • Interventional radiology
  • Pain management

Background:

  • Percutaneous sacroplasty is standard for painful sacral insufficiency fractures.
  • Current techniques lack standardization.
  • A novel approach is needed to improve patient outcomes.

Purpose of the Study:

  • Describe a new fluoroscopy-guided technique for sacroplasty using a single curved needle.
  • Evaluate its efficacy in treating sacral insufficiency fractures at any level.
  • Assess pain relief and functional improvement.

Main Methods:

  • Retrospective case series and technical notes.
  • Review of pre-operative, procedural, and post-operative data.
  • Recording of pain scores, comorbidities, procedure details, and outcomes.

Main Results:

  • Four curved needle sacroplasties performed on three patients (ages 58-90).
  • Average fluoroscopy time: 19.5 min; average radiation dose: 774.8 mGy.
  • No complications; average VAS score reduction of 5.5 points, indicating significant pain relief and functional improvement.

Conclusions:

  • Curved needle percutaneous sacroplasty is a novel and effective technique.
  • Allows versatile cement injection with a single needle.
  • Potentially reduces procedure time and radiation exposure.