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CT Fluoroscopically Guided Percutaneous Placement of Transiliosacral Rod for Sacral Insufficiency Fracture: Case Report and Technique

CT Fluoroscopically Guided Percutaneous Placement of Transiliosacral Rod for Sacral Insufficiency... This Article Figures Only Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Sciubba, D.M. Articles by Murphy, K.P. Search for Related Content PubMed PubMed Citation Articles by Sciubba, D.M. Articles by Murphy, K.P. Hotlight (NEW!) What's Hotlight? American Journal of Neuroradiology 28:1451-1454, September 2007 DOI 10.3174/ajnr.A0665 © 2007 American Society of Neuroradiology Technical Note SPINE CT Fluoroscopically Guided Percutaneous Placement of Transiliosacral Rod for Sacral Insufficiency Fracture: Case Report and Technique D.M. Sciubba a , J.-P. Wolinsky a , K.D. Than a , Z.L. Gokaslan a , T.F. Witham a and K.P. Murphy b a Departments of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Md b Radiology, Johns Hopkins University School of Medicine, Baltimore, Md Please address correspondence to Daniel M. Sciubba, MD, 600 North Wolfe St, Meyer Building 8-161, Baltimore, MD 21237; e-mail: dsciubb1@jhmi.edu SUMMARY: Treatment of sacral insufficiency fractures (SIFs) has traditionally been conservative, but several patients have been treated with percutaneous sacroplasty. Unfortunately, in the setting of severe, bilateral SIFs, cement may not withstand shear forces present at the lumbosacral junction, and surgical hardware may not provide adequate fixation in osteoporotic, cancellous bone of the sacrum, leading to eventual pseudarthrosis. Thus, we propose a novel technique in which guidance with CT fluoroscopy allows placement of a transiliosacral bar in conjunction with sacroplasty. This article has been cited by other articles: E.M. Lyders, C.T. Whitlow, M.D. Baker, and P.P. Morris Imaging and Treatment of Sacral Insufficiency Fractures AJNR Am. J. Neuroradiol., February 1, 2010; 31(2): 201 - 210. Abstract Full Text PDF H. G. Kang, Y. W. Roh, and H. S. Kim The treatment of metastasis to the femoral neck using percutaneous hollow perforated screws with cement augmentation J Bone Joint Surg Br, August 1, 2009; 91-B(8): 1078 - 1082. Abstract Full Text PDF Home Subscribe Author Instructions Submit Online Search the AJNR Archives Feedback Help Copyright © 2010 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

CT Fluoroscopically Guided Percutaneous Placement of Transiliosacral Rod for Sacral Insufficiency Fracture: Case Report and Technique

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Publisher
American Journal of Neuroradiology
Copyright
Copyright © 2010 by the American Society of Neuroradiology.
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.A0665
Publisher site
See Article on Publisher Site

Abstract

This Article Figures Only Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Sciubba, D.M. Articles by Murphy, K.P. Search for Related Content PubMed PubMed Citation Articles by Sciubba, D.M. Articles by Murphy, K.P. Hotlight (NEW!) What's Hotlight? American Journal of Neuroradiology 28:1451-1454, September 2007 DOI 10.3174/ajnr.A0665 © 2007 American Society of Neuroradiology Technical Note SPINE CT Fluoroscopically Guided Percutaneous Placement of Transiliosacral Rod for Sacral Insufficiency Fracture: Case Report and Technique D.M. Sciubba a , J.-P. Wolinsky a , K.D. Than a , Z.L. Gokaslan a , T.F. Witham a and K.P. Murphy b a Departments of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Md b Radiology, Johns Hopkins University School of Medicine, Baltimore, Md Please address correspondence to Daniel M. Sciubba, MD, 600 North Wolfe St, Meyer Building 8-161, Baltimore, MD 21237; e-mail: dsciubb1@jhmi.edu SUMMARY: Treatment of sacral insufficiency fractures (SIFs) has traditionally been conservative, but several patients have been treated with percutaneous sacroplasty. Unfortunately, in the setting of severe, bilateral SIFs, cement may not withstand shear forces present at the lumbosacral junction, and surgical hardware may not provide adequate fixation in osteoporotic, cancellous bone of the sacrum, leading to eventual pseudarthrosis. Thus, we propose a novel technique in which guidance with CT fluoroscopy allows placement of a transiliosacral bar in conjunction with sacroplasty. This article has been cited by other articles: E.M. Lyders, C.T. Whitlow, M.D. Baker, and P.P. Morris Imaging and Treatment of Sacral Insufficiency Fractures AJNR Am. J. Neuroradiol., February 1, 2010; 31(2): 201 - 210. Abstract Full Text PDF H. G. Kang, Y. W. Roh, and H. S. Kim The treatment of metastasis to the femoral neck using percutaneous hollow perforated screws with cement augmentation J Bone Joint Surg Br, August 1, 2009; 91-B(8): 1078 - 1082. Abstract Full Text PDF Home Subscribe Author Instructions Submit Online Search the AJNR Archives Feedback Help Copyright © 2010 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X

Journal

American Journal of Neuroradiology – American Journal of Neuroradiology

Published: Sep 1, 2007

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