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Transiliac sacroplasty for Denis 3 fracture - Two cases report -
Anesth Pain Med 2018;13(3):308-13
Published online July 31, 2018
© 2018 The Korean Society of Anesthesiologists.

Wonsok Chang1 , Sangho Lee2, and Hojin Kim2
Departments of 1Anesthesiology and Pain Medicine, 2Neurosurgery, Wooridul Spine Hospital, Seoul, Korea
Correspondence to: Wonsok Chang, M.D. Department of Anesthesiology and Pain Medicine, Wooridul Spine Hospital, 445 Hakdong-ro, Gangnam-gu, Seoul 06068, Korea Tel: 82-2-513-8485 Fax: 82-2-513-8488 E-mail: ORCID
Received December 22, 2017; Revised June 10, 2018; Accepted June 18, 2018.
cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
We present two cases of percutaneous sacroplasty for sacral body fracture (Denis 3) and sacral alar fracture under multislice computed tomography (MSCT) guidance and discuss the clinical results and technical considerations. Sacroplasty is often recommended for the treatment of painful sacral insufficiency fractures, which destabilize the sacrum. However, sacroplasty for Denis zone 3 is rare because of the lack of validating controlled studies or unique technical considerations related to sacral anatomy. We performed sacroplasty for Denis zone 3 via the transiliac approach. Precise needle placement and polymethylmethacrylate cement injection were performed safely under the MSCT system. No complications occurred related to this procedure, such as iliac fracture, vascular leakage, or epidural leakage. MSCT-guided transiliac sacroplasty was a useful and effective solution in treating sacral body fracture.
Key Words : Buttock pain, Multislice computed tomography, Sacral body fracture, Sacroplasty, Transiliac approach.

July 2018, 13 (3)
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