J Korean Fract Soc.  2011 Apr;24(2):174-177. 10.12671/jkfs.2011.24.2.174.

Usefulness of Kyphoplasty in Sacral Insufficiency Fracture: A Case Report

• Chae SU
• Kim YJ
• Yang JH
• Lee JW

• KMID: 2183861
• DOI: http://doi.org/10.12671/jkfs.2011.24.2.174

Abstract

Kyphoplasty has recently attended as a potential treatment for sacral insufficiency fracture. We report a 85-years-old female patient with osteoporotic S1 insufficiency fracture with absence of trauma history treated with kyphoplasty which has no symptom improve with conservative treatment. Kyphoplasty is an effective and useful procedure in the treatment of the sacral insufficiency fracture, additionally reviewed of the literatures.

Keyword

Sacrum; Insufficiency fracture; Kyphoplasty

MeSH Terms

Female
Fractures, Stress
Humans
Kyphoplasty
Sacrum

Figure

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  Fig. 1 Preoperative simple AP (A) and lateral (B) L-spine radiographs show the intervertebral disc space narrowing and spondylolisthesis between L4/L5.

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  Fig. 2 Coronal image (A) and saggital image (B) of pelvic CT scan shows bilateral sacral insufficiency fracture with cortical discontinuity (white arrow). T2 (C) and T1-weighted saggital image (D) of lumbosacral MRI show perilesional edema (white arrow).

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  Fig. 3 Under fluoscopy guidance with balloon assistance, intraoperative C-arm AP image (A) and lateral image (B) show balloon inflation at the sacral insufficiency fracture site.

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  Fig. 4 After fluoscopy-guided balloon-assisted sacroplasty, AP (A) and lateral (B) sacral radiographs, axial (C) and saggital (D) image of pelvic CT scan show the appearance of cement in the fracture area and no leakage of cement.

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