Previous studies of sacroplasty in patients with osteoporotic insufficiency fractures
| Needle Placement | Cement Injection | Complication(s) | Clinical Follow-Up | |
|---|---|---|---|---|
| Garant et al4 | Fluoroscopy under general anesthesia. Chiba needles placed in sacral foramina. | Fluoroscopy | None reported | Ambulatory and pain-free 9 months postprocedure |
| Brook et al1 | CT Guidance under general anesthesia in 2 patients. | Intermittent CT | Premature cement hardening | Pain-free and ambulating at 8 and 16 months |
| Pommersheim et al3 | Fluoroscopy in 2 patients. CT guidance in 1. Patients under conscious sedation. | Fluoroscopy in all | Cement extravasation in posterior soft tissues | Pain-free at 14 and 16 weeks. One patient lost to follow-up |
| Deen and Nottmeier2 | Kyphoplasty with fluoroscopy in 2 patients. Brain LAB in one patient. | Fluoroscopy in 2, Brain LAB in 1 | None reported | Decreased pain and increased function 3, 6, and 9 months after procedure |
| Butler et al7 | CT fluoroscopy under conscious sedation in 6 patients. | Fluoroscopy in 5, CT in 1 | Inadequate cement distribution, venous intravasation, and extension into SI joint | 2–8 weeks. Significantly reduced or eliminated pain in 4 patients |
Note:—SI indicates sacroiliac.