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Percutaneous Imaging-Guided Screw Fixation of Osteoporotic Transverse Fractures of the Lower Sacrum with Cement Augmentation: Report of 2 Cases

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Abstract

Osteoporotic fractures of the sacrum usually involve the sacral ala and can be managed with percutaneous cementoplasty if conservative therapy failed to achieve bone consolidation. On the other hand, isolated transverse fractures of the lowest sacrum are more rare, with little literature focusing on their management in the osteoporotic population. If pseudoarthrosis occurs in this location, sacroplasty is not an optimal therapeutic option because of the poor biomechanical resistance of cement to multi-directional stresses. Hence, we report two cases of chronic unhealed transverse fractures of the lowest sacrum successfully managed with percutaneous image-guided screw fixation augmented with cement injection. At last follow-up available, both patients experienced complete pain relief, without evidences of failure of the osteosynthesis on CT-scan controls.

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Authors and Affiliations

  1. Department of Interventional Radiology, Hopitaux Universitaires de Strasbourg, Place de l’Hopital, 67096, Strasbourg, France

    Julien Garnon, Guillaume Koch, Salem Bauones, Jean Caudrelier, Georgia Tsoumakidou, Roberto Luigi Cazzato & Afshin Gangi

  2. Department of Radiology, Norfolk and Norwich University Hospital, Norwich, UK

    Nitin Ramamurthy

Authors
  1. Julien Garnon
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  2. Guillaume Koch
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  3. Nitin Ramamurthy
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  4. Salem Bauones
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  5. Jean Caudrelier
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  6. Georgia Tsoumakidou
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  7. Roberto Luigi Cazzato
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  8. Afshin Gangi
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Correspondence to Julien Garnon.

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All authors have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Garnon, J., Koch, G., Ramamurthy, N. et al. Percutaneous Imaging-Guided Screw Fixation of Osteoporotic Transverse Fractures of the Lower Sacrum with Cement Augmentation: Report of 2 Cases. Cardiovasc Intervent Radiol 40, 1105–1111 (2017). https://doi.org/10.1007/s00270-017-1633-1

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  • DOI: https://doi.org/10.1007/s00270-017-1633-1

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