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Percutaneous sacroplasty for treatment of sacral insufficiency fractures |
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Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Percutaneous sacroplasty for treatment of sacral insufficiency fractures. Lansdale: HAYES, Inc.. Healthcare Technology Brief Publication. 2014 Authors' conclusions Sacral lesions, including sacral insufficiency fractures (SIFs), destabilize the pelvis, leading to pain that is aggravated by weight bearing. Pathologic processes that reduce sacral bone strength include osteoporosis, focal or infiltrating neoplasms, pelvic radiation therapy, rheumatoid arthritis, and chronic corticosteroid use. SIF may occur unilaterally or bilaterally and causes pain that radiates from the low back to the buttocks with or without referred pain into the lower limbs, hips, groin, or lower lumbar spine. Pain often is severe, limiting or preventing ambulation and activities of daily living (ADL). The incidence of SIF is difficult to determine, but the incidence of pelvic ring fractures, including SIFs, ranges from 0.3% to 8.0% overall but increases with advancing age. Traditionally, SIFs have been treated by conservative measures, including bed rest, analgesics,
orthoses/corsets, and physical therapy. These measures resolve pain and functional impairment in some patients. However, pain may persist for up to a year before resolution, and SIF often is refractory to these measures and may require prolonged hospitalization or extended care services. Long-term immobilization and bed rest carry the risk for deep venous thrombosis, pulmonary embolism, and other problems. Open surgery is rarely an option in the predominantly elderly patients with SIF, and reliable hardware implantation may be impossible to achieve in weakened bone. Thus, there is a need for minimally invasive treatments for SIF. Indexing Status Subject indexing assigned by CRD MeSH Humans; Osteoporotic Fractures; Spinal Fractures; Vertebroplasty Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218 Email: hayesinfo@hayesinc.com AccessionNumber 32014001216 Date abstract record published 29/10/2014 |
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