Ces radiol. 2009, 63(2):152-158

Insuficiency fracturee affecting pelvic ring - trascutaneous treatment modalitiesReview article

Pavel Ryška¹, Václav Málek², Leoš Ungermann¹, Michael Bartoš², Svatopluk Řehák², Ondřej Renc¹, Jindra Brtková¹

¹ Radiologická klinika LF UK a FN Hradec Králové

² Neurochirurgická klinika LF UK a FN Hradec Králové

Insuficiency fractures are a subtype of stress fractures affecting the pelvic circle. Among the most common types of fractures belong: fractures of sharebone arms, periacetabular fractures and insuficiency fractures of sacral bone (IFS). The most typical sign is a pain localised to the fracture location. Neurological symptoms are rare (about 1 %). Magnetic resonance imaging and scintigraphy are the most useful imaging modalities. The most common method of treatment is conservative therapy based on bed rest and analgetic drugs administration. In the last few years also mini-invasive procedures like transcutanneous screw fixation or bone powder stabilisation (sacroplasty) are used. The authors analyse individual types of fractures, their diagnostics, discuss percutanneous sacroplasty treatment and present case reports solved by themselves.

Keywords: sacral insuficiency fracture, percutaneous sacroplasty, vertebroplasty

Accepted: April 15, 2009; Published: June 1, 2009  Show citation