Outcome of long-axis percutaneous sacroplasty for the treatment of sacral insufficiency fractures.

Détails

ID Serval
serval:BIB_B7A24A6D42CC
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Outcome of long-axis percutaneous sacroplasty for the treatment of sacral insufficiency fractures.
Périodique
European Radiology
Auteur(s)
Kamel Ehab M., Binaghi Stefano, Guntern Daniel, Mouhsine Elyazid, Schnyder Pierre, Theumann Nicolas
ISSN
0938-7994
Statut éditorial
Publié
Date de publication
2009
Peer-reviewed
Oui
Volume
19
Numéro
12
Pages
3002-7
Langue
anglais
Résumé
Our aim was to assess the clinical outcome of patients who were subjected to long-axis sacroplasty for the treatment of sacral insufficiency fractures. Nineteen patients with unilateral (n = 3) or bilateral (n = 16) sacral fractures were involved. Under local anaesthesia, each patient was subjected to CT-guided sacroplasty using the long-axis approach through a single entry point. An average of 6 ml of polymethylmethacrylate (PMMA) was delivered along the path of each sacral fracture. For each individual patient, the Visual Analogue pain Scale (VAS) before sacroplasty and at 1, 4, 24 and 48 weeks after the procedure was obtained. Furthermore, the use of analgesics (narcotic/non-narcotic) along with the evolution of post-interventional patient mobility before and after sacroplasty was also recorded. The mean pre-procedure VAS was 8 +/- 1.9 (range, 2 to 10). This rapidly and significantly (P < 0.001) declined in the first week after the procedure (mean 4 +/- 1.4; range, 1 to 7) followed by a gradual and significant (P < 0.001) decrease along the rest of the follow-up period at 4 weeks (mean 3 +/- 1.1; range, 1 to 5), 24 weeks (mean 2.2 +/- 1.1; range, 1 to 5) and 48 weeks (mean 1.6 +/- 1.1; range, 1 to 5). Eleven (58%) patients were under narcotic analgesia before sacroplasty, whereas 8 (42%) patients were using non-narcotics. Corresponding values after the procedure were 2/19 (10%; narcotic, one of them was on reserve) and 10/19 (53%; non-narcotic). The remaining 7 (37%) patients did not address post-procedure analgesic use. The evolution of post-interventional mobility was favourable in the study group as they revealed a significant improvement in their mobility point scale (P < 0.001). Long-axis percutaneous sacroplasty is a suitable, minimally invasive treatment option for patients who present with sacral insufficiency fractures. More studies with larger patient numbers are needed to explore any unrecognised limitations of this therapeutic approach.
Mots-clé
Sacroplasty, Sacral fracture, Long-axis approach, CT-Guided Sacroplasty, Iliosacral Screws, Vertebroplasty, Multicenter, Placement, Guidance
Pubmed
Web of science
Création de la notice
18/06/2009 17:53
Dernière modification de la notice
20/08/2019 16:25
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