Ryne Dougherty BA, Presenter: Nothing to Disclose

Jennifer S. McDonald PhD, Abstract Co-Author: Research Grant, General Electric Company

Yong Woon Cho MD, PhD, Abstract Co-Author: Nothing to Disclose

John Thomas Wald MD, Abstract Co-Author: Nothing to Disclose

Kent Ronald Thielen MD, Abstract Co-Author: Consultant, Nevro Imaging, Inc

David F. Kallmes MD, Abstract Co-Author: Research support, Terumo Corporation Research support, Covidien AG Research support, Nfocus Consulting Inc Research support, Sequent Medical, Inc Research support, Penumbra, Inc Research support, Benvenue Medical, Inc

Sacroplasty has emerged as a treatment option for patients suffering from painful osteoporotic sacral insufficiency fractures. We report outcomes in a consecutive cohort of patients treated with sacroplasty.

We retrospectively reviewed 63 patients treated with sacroplasty at our institution between 2004 and 2011. An 11-point numerical rating scale (NRS) pain score was recorded at rest and at activity both pre-procedure and post-procedure. The patient’s pre-procedural and post-procedural pain medication were quantified into the Medication Quantification Scale Version III (MQS III).

Mean post-procedure follow up was 3.46 weeks (st. dev.= 2.87). Mean pain at rest diminished from 6.3 pre-procedure to 2.79 (p <.0001). Mean pain with activity diminished from 9.2 to 5.23 (p <.0002). 82.2% of patients experienced a numerical or descriptive decrease of their back pain (n=49). The pre-procedure MQS III score was 1.53 (SD = 0.77) while the post-procedure MQS III score was MQS III score was 1.49 (SD = 0.70) (p <.0001). Procedural complications were minimal. 14% of cases (8/57) had cement extravasation past the intended zone of deposition within the sacral ala, but all were reported as clinically insignificant.

Sacroplasty a safe and effective treatment in patients suffering from painful osteoporotic insufficiency fractures. Short term follow – up demonstrates significant improvement in numerical pain scores and decrease in pain medication.

Percutaneous sacroplasty for pain palliation in sacral insufficiency fractures is relatively safe and effective procedure as demonstrated by the decrease in pain scores.

Dougherty, R, McDonald, J, Cho, Y, Wald, J, Thielen, K, Kallmes, D, Percutaneous Sacroplasty for Pain Palliation in Sacral Insufficiency Fractures.  Radiological Society of North America 2012 Scientific Assembly and Annual Meeting, November 25 - November 30, 2012 ,Chicago IL. http://archive.rsna.org/2012/12027735.html