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Sacroplasty is a minimally invasive procedure for treating pathological fractures of the sacral vertebral body or sacral ala.
Bi-lateral Short Axis Sacroplasty
Bi-lateral Long Axis Sacroplasty
The goal of sacroplasty is to relieve pain and stabilize the fracture.1,2 This procedure involves:
SACROPLASTY TECHNIQUE GUIDE: SHORT-AXIS TECHNIQUE - (20:25)
Labib Haddad, MD, demonstrates how to perform sacroplasty using the short-axis technique.
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SACROPLASTY TECHNIQUE GUIDE: LONG-AXIS TECHNIQUE - (15:02)
Labib Haddad, MD, demonstrates how to perform sacroplasty using the long-axis technique.
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Difficult to diagnose1
Prevalence is likely underestimated 1
Potential cost of care is high1
In a prospective observational cohort study sacroplasty provided rapid pain relief within 30 minutes of the procedure. Reduction in pain levels continued to 52 weeks.
Post-procedure mean scores: repeated measure analysis of variance (p < 0.01)
Study Design
Study Notes
Limitations
In a retrospective multicenter analysis, CT-guided sacroplasty provided prompt and durable pain relief in patients with with SIFs and sacral lesions.. The drop-in pain scores were significant for all groups (P < 0.001).
Fracture Type or Lesion | Pre-treatment VAS Score (avg) | Post-treatment VAS Score (avg) | P value |
---|---|---|---|
Bilateral sacral insufficiency fracture |
9.2 |
1.9 |
< 0.001 |
Unilateral sacral insufficiency fracture |
8.7 |
2.5 |
< 0.001 |
Sacral mass or infiltrative lesion |
9.0 |
2.6 |
< 0.001 |
Study Design
Study Notes
Limitations
The complication rate with Sacroplasty has been demonstrated to be low. There are risks associated with the procedure (e.g., cement extravasation), including serious complications, and though rare, some of which may be fatal.
Risks of acrylic bone cements include cement leakage, which may cause tissue damage, nerve or circulatory problems, and other serious adverse events, such as: cardiac arrest, cerebrovascular accident, myocardial infarction, pulmonary embolism, or cardiac embolism.
For complete information regarding indications for use, contraindications, warnings, precautions, adverse events, and methods of use, please reference the devices’ Instructions for Use included with the product.
Two patients treated with bioceramic bone cement experienced significant pain relief. This number is insufficient to make a conclusion about bioceramic cement in this procedure.
Ortiz AO and Brook AL. Sacroplasty. Tech Vasc Interv Radiol. 2009;12(1):51-63. doi: 10.1053.
Kortman K, Ortiz O, Miller T, et al. Multicenter study to assess the efficacy and safety of sacroplasty in patients with osteoporotic sacral insufficiency fractures or pathologic sacral lesions. J Neurointerv Surg. 2013;5(5):461-466.
Frey M, DePalma M, Cifu D, et al. Percutaneous sacroplasty for osteoporotic sacral insufficiency fractures: a prospective, multicenter, observational pilot study. Spine J. 2008;8(2):367-373.
Medtronic data on file: 31100918.