RT Journal Article SR Electronic T1 CT Fluoroscopically Guided Percutaneous Placement of Transiliosacral Rod for Sacral Insufficiency Fracture: Case Report and Technique JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 1451 OP 1454 DO 10.3174/ajnr.A0665 VO 28 IS 8 A1 D.M. Sciubba A1 J.-P. Wolinsky A1 K.D. Than A1 Z.L. Gokaslan A1 T.F. Witham A1 K.P. Murphy YR 2007 UL http://www.ajnr.org/content/28/8/1451.abstract AB SUMMARY: 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.