Rinoo V Shah1. 1. Department of Anesthesiology, Guthrie Clinic-Big Flats, 31 Arnot Rd, Horseheads, NY 14845, USA. rinoo_shah@yahoo.com
Abstract
BACKGROUND CONTEXT: Sacral insufficiency fractures and metastases are a source of severe intractable pain, with limited therapeutic options. Sacroplasty has demonstrable efficacy and safety; sacral kyphoplasty, however, is rarely reported. PURPOSE: To evaluate the safety and efficacy of sacral kyphoplasty for sacral insufficiency fractures and metastases. STUDY DESIGN: Retrospective, with long-term follow-up; rural community-based practice. PATIENT SAMPLE: Patients with sacral insufficiency fractures and metastases. OUTCOME MEASURES: Numerical pain rating scale, opioid equivalent usage. SELF-REPORT MEASURE: Numerical pain rating scale. FUNCTIONAL MEASURE: Opioid equivalent consumption. METHODS: Retrospective analysis. RESULTS: Statistically significant improvement in pain; overall, an improvement in opioid consumption. CONCLUSIONS: Sacral kyphoplasty appears to be a safe and efficacious procedure, comparable to sacroplasty, in the treatment of SIFs and sacral metastases. Copyright Â
BACKGROUND CONTEXT: Sacral insufficiency fractures and metastases are a source of severe intractable pain, with limited therapeutic options. Sacroplasty has demonstrable efficacy and safety; sacral kyphoplasty, however, is rarely reported. PURPOSE: To evaluate the safety and efficacy of sacral kyphoplasty for sacral insufficiency fractures and metastases. STUDY DESIGN: Retrospective, with long-term follow-up; rural community-based practice. PATIENT SAMPLE: Patients with sacral insufficiency fractures and metastases. OUTCOME MEASURES: Numerical pain rating scale, opioid equivalent usage. SELF-REPORT MEASURE: Numerical pain rating scale. FUNCTIONAL MEASURE: Opioid equivalent consumption. METHODS: Retrospective analysis. RESULTS: Statistically significant improvement in pain; overall, an improvement in opioid consumption. CONCLUSIONS:Sacral kyphoplasty appears to be a safe and efficacious procedure, comparable to sacroplasty, in the treatment of SIFs and sacral metastases. Copyright Â