Sacral kyphoplasty for the treatment of painful sacral insufficiency fractures and metastases.

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.