Usefulness of Kyphoplasty in Sacral Insufficiency Fracture -A Case Report-

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

doi:10.12671/jkfs.2011.24.2.174

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Chae, Kim, Yang, and Lee: Usefulness of Kyphoplasty in Sacral Insufficiency Fracture -A Case Report-

Case Report

Journal of the Korean Fracture Society

Journal of the Korean Fracture Society 2011; 24(2): 174-177.

Published online: 13 April 2011

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

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.

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 26 November 2010 Revised 22 December 2010 Accepted 3 March 2011

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Sacrum, Insufficiency fracture, Kyphoplasty

Figures and Tables

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.

References

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