AJDRAJNR - American Journal of Neuroradiology

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Sacroplasty by CT and Fluoroscopic Guidance: Is the Procedure Right for Your Patient?

W.M. Struba, M. Hoffmannb, R.J. Ernstb and R.V. Bulasb

a Department of Radiology, University of Cincinnati, Cincinnati, Ohio
b Department of Radiology, The Christ Hospital, Cincinnati, Ohio


Figure 1
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  		Fig 1. CT images from needle placement in 2 different patients with sacral insufficiency fractures illustrating the possible orientation for the bone biopsy needle(s) in the sacrum.

A, Axial image showing vertical orientation of the bone biopsy needles in a patient with bilateral fractures.

B. Axial image showing an oblique orientation, paralleling the sacroiliac joint of the bone biopsy needle, in a patient with a unilateral fracture.


Figure 2
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  		Fig 2. Fluoroscopic spot films taken during the PMMA injection in a 65-year-old woman with bilateral sacral insufficiency fractures.

A, Frontal projection allows for monitoring of extravasation into the sacral foramina.

B, Lateral projection allows for monitoring for any cement extravasation into the soft tissues.





Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X