Choi Kyung-Mi, Song Joon-Ho, Ahn Sung-Ki, Choi Hyun-Chul
Department of Neurosurgery, Sacred Heart Hospital, College of Medicine, The Hallym University of Korea, Anyang, Korea.
J Korean Neurosurg Soc. 2010 Jan;47(1):58-63. doi: 10.3340/jkns.2010.47.1.58. Epub 2010 Jan 31.
Sacral insufficiency fracture is a debilitating injury not easily found in general radiologic examinations and is rarely diagnosed, since its symptoms are obscure. It is known to frequently occur in patients with osteoporosis, but the treatment has not yet been established and various kinds of treatment methods are being attempted. Sacroplasty is sometimes performed by applying percutaneous vertebroplasty which is known to be a less invasive treatment. Since the course of diagnosis of sacral insufficiency fracture is difficult and clear guidelines for treatments have not yet been established, many spine surgeons fail to diagnose patients or speculate on treatment methods. We report our experience in diagnosing a sacral insufficiency fracture in a 54-year-old healthy female patient using MRI and treating her with sacroplasty. From a therapeutic point of view, we then cover the usefulness, effects and characteristics relating to the complications of sacroplasty, along with literature review.
骶骨不全骨折是一种使人虚弱的损伤，在普通放射检查中不易发现，且由于其症状不明显，很少被诊断出来。已知其在骨质疏松症患者中经常发生，但治疗方法尚未确立，目前正在尝试各种治疗方法。有时通过应用经皮椎体成形术进行骶骨成形术，这是一种侵入性较小的治疗方法。由于骶骨不全骨折的诊断过程困难，且尚未建立明确的治疗指南，许多脊柱外科医生无法诊断出患者或推测治疗方法。我们报告了我们使用磁共振成像（MRI）诊断一名54岁健康女性患者的骶骨不全骨折并对其进行骶骨成形术治疗的经验。从治疗的角度来看，我们随后结合文献综述，阐述了骶骨成形术的有用性、效果以及与并发症相关的特点。
