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Percutaneous Sacroplasty for the Sacral Insufficiency Fracture Caused by Metastasis

Other Title
척추 전이암에 의한 천추 압박골절의 경피적 천추성형술 -증례보고-
Authors
권, 원일; 한, 경림; 김, 찬; 주, 은진
Citation
The Korean journal of pain, 21(3):229-232, 2008
Journal Title
The Korean journal of pain
ISSN
2005-91592093-0569
Abstract
Insufficiency fractures of the sacrum are relatively common and cause severe low back and buttock pain. Percutaneous vertebroplasty is effective for treating vertebral compression fractures. We present a case of percutaneous sacroplasty for the treatment of low back and buttock pain in a sacral insufficiency fracture. A 79-year-old male with non-small lung cancer presented with severe low back and buttock pain after series of radiation treatments. Preoperative MRI showed both a sacral ala and S2 metastatic insufficiency fracture. An epidural port was inserted for continuous morphine infusion and sacral nerve root blocks were performed. However, his pain did not diminish and we attempted percutaneous sacroplasty. Both sides of the sacroplasty were done with a fluoroscopy-guided technique with 1.7 ml and 2.3 ml of bone cement injected into the right and left sacral ala. Pain relief was significant and the patient was able to sit down 1 day after the procedure.
Keywords
metastasissacral compression fracturesacroplasty
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Anesthesiology & Pain Medicine
AJOU Authors
한, 경림김, 찬
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