Percutaneous Sacroplasty for Painful Bone Metastases: A Case Report

Pain Pract. 2017 Sep;17(7):945-951. doi: 10.1111/papr.12538. Epub 2016 Dec 30.

Abstract

Introduction: The occurrence of bone metastases is common in patients with advanced cancer. The literature supports percutaneous vertebroplasty and kyphoplasty as minimally invasive procedures to relieve pain and improve quality of life for selected patients with disabling pain from pathological vertebral fractures secondary to bone metastases.

Case: We describe a case of a 71-year-old patient with castrate-resistant metastatic prostate cancer who underwent sacroplasty for painful sacral metastases. The patient had previously been treated with maximally tolerated analgesics and anticancer therapies including systemic anticancer treatments and local radiotherapy. After sacroplasty, he experienced significant pain reduction and improvement in mobility and function.

Conclusion: This case and recent literature demonstrate positive outcomes of sacroplasty in terms of pain reduction and improved mobility. Further research is warranted to establish the role of such minimally invasive percutaneous procedures for pain management in cancer patients.

Keywords: analgesia; low back pain; radiology.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Analgesics / therapeutic use
  • Bone Neoplasms / diagnostic imaging*
  • Bone Neoplasms / secondary
  • Bone Neoplasms / surgery*
  • Humans
  • Kyphoplasty / methods
  • Male
  • Pain Management / methods
  • Pain Measurement / methods
  • Prostatic Neoplasms / diagnostic imaging*
  • Prostatic Neoplasms / surgery*
  • Quality of Life
  • Vertebroplasty / methods*

Substances

  • Analgesics