Osteoporotic fracture of the sacrum: sacroplasty and physical medecine

Ann Phys Rehabil Med. 2009 Jun;52(5):427-35. doi: 10.1016/j.rehab.2009.01.003. Epub 2009 May 26.
[Article in English, French]

Abstract

Context: Traditional treatment of sacrum osteoporotic fractures is mainly based on antalgics and rest in bed. But complications are frequent, cutaneous, respiratory, thrombotic or digestive and mortality at 1 year significant.

The aims: We wanted to define the interest of sacroplasty when treating osteoporotic fracture of sacrum.

Method: We reviewed literature while studying a clinical case in an elderly patient.

Results: Sacroplasty was efficient at short and mean delay to control the pain due to osteoporotic sacrum fracture. Rate of complications is low in the centers mastering the procedure.

Conclusion: Sacroplasty is of evident interest for elderly patients suffering of an osteoporotic fracture of sacrum. It reduces decubitus complications, secondary effects of antalgics and allows an early reeducation.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged, 80 and over
  • Bone Cements / therapeutic use
  • Combined Modality Therapy
  • Contraindications
  • Diagnostic Imaging
  • Emergencies
  • Fractures, Spontaneous / diagnosis
  • Fractures, Spontaneous / etiology
  • Fractures, Spontaneous / rehabilitation
  • Fractures, Spontaneous / surgery
  • Fractures, Spontaneous / therapy*
  • Humans
  • Lumbar Vertebrae / injuries
  • Lumbar Vertebrae / surgery
  • Male
  • Osteoporosis / complications*
  • Osteoporosis / diagnosis
  • Osteoporosis / drug therapy
  • Osteoporosis / rehabilitation
  • Physical Therapy Modalities*
  • Polymethyl Methacrylate / therapeutic use
  • Radiography
  • Sacrum / diagnostic imaging
  • Sacrum / injuries*
  • Sacrum / surgery
  • Spinal Fractures / diagnosis
  • Spinal Fractures / etiology
  • Spinal Fractures / rehabilitation
  • Spinal Fractures / surgery
  • Spinal Fractures / therapy*
  • Vertebroplasty* / methods

Substances

  • Bone Cements
  • Polymethyl Methacrylate