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Spine J. 2012 Feb;12(2):113-20. doi: 10.1016/j.spinee.2012.01.019.

Sacral kyphoplasty for the treatment of painful sacral insufficiency fractures and metastases.

Author information

  • 1Department of Anesthesiology, Guthrie Clinic-Big Flats, 31 Arnot Rd, Horseheads, NY 14845, USA. rinoo_shah@yahoo.com

Abstract

BACKGROUND CONTEXT:

Sacral insufficiency fractures and metastases are a source of severe intractable pain, with limited therapeutic options. Sacroplasty has demonstrable efficacy and safety; sacral kyphoplasty, however, is rarely reported.

PURPOSE:

To evaluate the safety and efficacy of sacral kyphoplasty for sacral insufficiency fractures and metastases.

STUDY DESIGN:

Retrospective, with long-term follow-up; rural community-based practice.

PATIENT SAMPLE:

Patients with sacral insufficiency fractures and metastases.

OUTCOME MEASURES:

Numerical pain rating scale, opioid equivalent usage. SELF-REPORT MEASURE: Numerical pain rating scale. FUNCTIONAL MEASURE: Opioid equivalent consumption.

METHODS:

Retrospective analysis.

RESULTS:

Statistically significant improvement in pain; overall, an improvement in opioid consumption.

CONCLUSIONS:

Sacral kyphoplasty appears to be a safe and efficacious procedure, comparable to sacroplasty, in the treatment of SIFs and sacral metastases.

Copyright © 2012 Elsevier Inc. All rights reserved.

PMID:
22405614
[PubMed - indexed for MEDLINE]
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