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KMID : 1040020110020010035
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International Journal of Pain
2011 Volume.2 No. 1 p.35 ~ p.40
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Useful Techniques for Percutaneous Sacroplasty under Fluoscopic Guidance Alone: Cases and Technical Report
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Yim Kyoung-Hoon
Park Soo-Young
Han Hyun-Seok
Kim Jae-Hun
Kim Yong-Chul
Lee Sang-Chul
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Abstract
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Percutaneous sacroplasty is an excellent indication for treatment of severe lumbosacral pain related to insufficiency fracture of the sacrum or other underlying sacral lesions such as metastatic tumor. Although the percutaneous sacroplasty is technically similar to vertebroplasty, placing the needle safely in place is far more difficult due to the complex anatomy of the sacrum. Here are two cases of percutaneous sacroplasty using modified bone filler device tube under C-arm fluoroscopic guidance only. Modified bone filler device tube which were shorten as much as 4.5 cm than ready-made ones made the alternation of fluoroscopic view between the anteroposterior and the lateral to detect cement leakage to near structures, especially horizontal spreading of cement into the sacral canal in the real-time anteroposterior view more easily. Even though further studies are needed to optimize distribution of cement during sacroplasty, our technique will be useful to detect horizontal leakage of cement as early as possible.
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KEYWORD
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equipment design, fluoroscopy, metastatic tumor, percutaneous sacroplast, sacral insufficiency fracture
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