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]
Affiliation
- 1 Rheumatology and Physical Medicine, CHU Lapeyronie, Montpellier cedex 5, France. e-thomas@chu-montpellier.fr
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.
MeSH terms
-
Aged, 80 and over
-
Bone Cements / therapeutic use
-
Combined Modality Therapy
-
Contraindications
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Diagnostic Imaging
-
Emergencies
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Fractures, Spontaneous / diagnosis
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Fractures, Spontaneous / etiology
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Fractures, Spontaneous / rehabilitation
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Fractures, Spontaneous / surgery
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Fractures, Spontaneous / therapy*
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Humans
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Lumbar Vertebrae / injuries
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Lumbar Vertebrae / surgery
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Male
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Osteoporosis / complications*
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Osteoporosis / diagnosis
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Osteoporosis / drug therapy
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Osteoporosis / rehabilitation
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Physical Therapy Modalities*
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Polymethyl Methacrylate / therapeutic use
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Radiography
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Sacrum / diagnostic imaging
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Sacrum / injuries*
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Sacrum / surgery
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Spinal Fractures / diagnosis
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Spinal Fractures / etiology
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Spinal Fractures / rehabilitation
-
Spinal Fractures / surgery
-
Spinal Fractures / therapy*
-
Vertebroplasty* / methods
Substances
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Bone Cements
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Polymethyl Methacrylate