Soo Uk Chae; Yeung Jin Kim; Jung Hwan Yang; Ji Wan Lee

doi:10.12671/jkfs.2011.24.2.174

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Case Report
Usefulness of Kyphoplasty in Sacral Insufficiency Fracture: A Case Report: Soo Uk Chae, M.D., Yeung Jin Kim, M.D., Jung Hwan Yang, M.D., Ji Wan Lee, M.D.; Journal of the Korean Fracture Society 2011;24(2):174-177.
DOI: https://doi.org/10.12671/jkfs.2011.24.2.174
Published online: April 13, 2011

Department of Orthopeadic Surgery, School of Medicine, Wonkwang University, Iksan, Korea.

Address reprint requests to: Jung Hwan Yang, M.D. Department of Orthopeadic Surgery, School of Medicine, Wonkwang University, 344-1, Shinyong-dong, Iksan 570-711, Korea. Tel: 82-63-472-5100, Fax: 82-63-472-5688, oschae68@hanmail.net

• Received: November 26, 2010 • Revised: December 22, 2010 • Accepted: March 3, 2011

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Abstract
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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.
Key words: Sacrum, Insufficiency fracture, Kyphoplasty

REFERENCES

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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.

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).

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.

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.

Figure & Data

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Pelvic Insufficiency Fracture in Severe Osteoporosis Patient
Woong Chae Na, Sang Hong Lee, Sung Jung, Hyun Woong Jang, Suenghwan Jo
Hip & Pelvis.2017; 29(2): 120. CrossRef

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Usefulness of Kyphoplasty in Sacral Insufficiency Fracture: A Case Report

J Korean Fract Soc. 2011;24(2):174-177. Published online April 30, 2011

DOI: https://doi.org/10.12671/jkfs.2011.24.2.174

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Usefulness of Kyphoplasty in Sacral Insufficiency Fracture: A Case Report

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

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).

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.

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.