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Percutaneous sacroplasty
  1. Amar C Gupta1,
  2. Albert J Yoo1,
  3. Jeffrey Stone2,
  4. John C Barr3,
  5. Allan Brook4,
  6. Sean Tutton5,
  7. Orlando Ortiz6,
  8. Ariel E Hirsch7,
  9. Mykol Larvie8,
  10. Michael E Frey9,10,
  11. Mahesh V Jayaraman11,12,
  12. Joshua A Hirsch1
  1. 1Department of Interventional Neuroradiology and Endovascular Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts, USA
  2. 2Department of Radiology, Mayo Clinic Florida, Jacksonville, Florida, USA
  3. 3Scrripps Memorial Hospitals, California, USA
  4. 4Department of Radiology, Montefiore Medical Center, Bronx, New York, USA
  5. 5Department of Interventional and Diagnostic Radiology, Froedtert Memorial Lutheran Hospital, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
  6. 6Department of Radiology, Winthrop University Hospital, Mineola, New York, USA
  7. 7Department of Radiation Oncology, Boston University Medical Center and Massachusetts General Hospital, Boston, Massachusetts, USA
  8. 8Department of Neuroradiology, Massachusetts General Hospital, Boston, Massachusetts, USA
  9. 9Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, Virginia, USA
  10. 10Advanced Pain Management and Spine Specialists, Fort Myers Fl
  11. 11Department of Diagnostic Imaging, Brown University/Rhode Island Hospital, Providence, Rhode Island, USA
  12. 12Alpert Medical School at Brown University, Providence, Rhode Island, USA
  1. Correspondence to Dr. Joshua Hirsch, Department of Interventional and Diagnostic Neuroradiology, Massachusetts General Hospital, Gray 241, 55 Fruit Street, Boston, MA 02114, USA; jahirsch{at}


The recognition of sacral insufficiency fractures continues to be poor, and diagnosis is often delayed resulting in significant morbidity. Percutaneous sacroplasty is an image guided procedure that is safe and potentially effective for treating the pain and disability related to these fractures. Several cohort studies reviewed here report successful outcomes using this procedure, with patients experiencing nearly full pain relief immediately and longitudinally. As with the well proven results from percutaneous vertebral augmentation within the thoracic and lumbar spine, sacroplasty reduces the cost associated with bed rest and physical therapy and allows patients to return to activities of daily living sooner than with conservative therapy.

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  • Competing interests JS: restricted research grant (Benvenue Medical). AB: CareFusion consultant. ST: consultant for Benvenue Medical. OO: speakers bureau, Orthovita. MF: consultant for Boston Scientific. JH: CareFusion consultant.

  • Provenance and peer review Not commissioned; externally peer reviewed.