CT fluoroscopically guided percutaneous placement of transiliosacral rod for sacral insufficiency fracture: case report and technique.

Journal Article (Journal Article)

Treatment of sacral insufficiency fractures (SIFs) has traditionally been conservative, but several patients have been treated with percutaneous sacroplasty. Unfortunately, in the setting of severe, bilateral SIFs, cement may not withstand shear forces present at the lumbosacral junction, and surgical hardware may not provide adequate fixation in osteoporotic, cancellous bone of the sacrum, leading to eventual pseudarthrosis. Thus, we propose a novel technique in which guidance with CT fluoroscopy allows placement of a transiliosacral bar in conjunction with sacroplasty.

Full Text

Duke Authors

Cited Authors

  • Sciubba, DM; Wolinsky, J-P; Than, KD; Gokaslan, ZL; Witham, TF; Murphy, KP

Published Date

  • September 2007

Published In

Volume / Issue

  • 28 / 8

Start / End Page

  • 1451 - 1454

PubMed ID

  • 17846189

Pubmed Central ID

  • 17846189

International Standard Serial Number (ISSN)

  • 0195-6108

Digital Object Identifier (DOI)

  • 10.3174/ajnr.A0665

Language

  • eng

Conference Location

  • United States