ArticleNeurosurgery2015
Sacroplasty for cancer-associated insufficiency fractures.
Article in Neurosurgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Clinical outcomes of sacroplasty for metastatic sacral tumours: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020Pooled it
- When Less Is More: The indications for MIS Techniques and Separation Surgery in Metastatic Spine Disease.Spine · 2016Pooled it
- Sacroplasty with or without screw fixation for sacral metastatic tumors.Frontiers in oncology · 2025Article
- 'XX'-Sacroplasty: A Novel Technique for Management of "H-Type" Sacral Insufficiency Fractures.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- Sacral Insufficiency Fractures: a Review of Risk Factors, Clinical Presentation, and Management.Current pain and headache reports · 2020Review
- Fluoroscopy-Guided Percutaneous Sacroplasty for Painful Metastases at the Sacral Ala.Journal of pain research · 2020Article
- Comparison of low-dose CT with CT/CT fluoroscopy guidance in percutaneous sacral and supra-acetabular cementoplasty.Diagnostic and interventional radiology (Ankara, Turkey) · 2019Article
- Safety and efficacy of percutaneous sacroplasty for treatment of sacral insufficiency fractures: a systematic review.Journal of spine surgery (Hong Kong) · 2019Review
- Percutaneous Sacroplasty for Painful Sacral Metastases Involving Multiple Sacral Vertebral Bodies: Initial Experience with an Interpedicular Approach.Korean journal of radiology · 2019Article
- Radiation-induced insufficiency fracture of the femur 18 years after radiation therapy.Radiology case reports · 2019Article
- Interventional Pain Management for Sacroiliac Tumors in the Oncologic Population: A Case Series and Paradigm Approach.Pain medicine (Malden, Mass.) · 2017Article
- Radiofrequency ablation alone or in combination with cementoplasty for local control and pain palliation of sacral metastases: preliminary results in 11 patients.Skeletal radiology · 2016Article
- What's new in vertebral cementoplasty?The British journal of radiology · 2016Review
- [Vertebroplasty--state of the art].Der Radiologe · 2015Review
- Short-segment percutaneous pedicle screw fixation with cement augmentation for tumor-induced spinal instability.The spine journal : official journal of the North American Spine Society · 2015Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundTumor-associated sacral insufficiency fractures (SIF) present a significant clinical challenge. As survival increases for many malignancies, sacral fractures associated with metastases, sacral or extended pelvic radiation, and paraneoplastic osteoporosis are increasingly common and yet remain difficult to treat in the setting of the potentially significant morbidity of open sacral surgery.
objectiveTo describe our prospective experience with sacroplasty for tumor-associated lesions, including the largest series to date of radiation-induced SIF.
methodsTwenty-five patients with symptomatic SIF underwent 31 percutaneous fluoroscopy-guided sacroplasties with a median 5.8 mL of polymethyl methacrylate or a ceramic-resin composite under fluoroscopic guidance and with concurrent biopsy acquisition. Eighteen patients had fractures related to previous sacral or pelvic radiation; 4 had viable lytic lesions; and 2 had oncology-related osteoporosis. Postoperative pain reduction, procedural morbidity, and functional outcomes were recorded.
resultsTwenty of 25 patients (80%) had reduction in their visual analog pain score at a median follow-up of 6.5 months; no patients worsened. The mean visual analog scale score decreased from 8.8 to 4.7 postprocedurally (P < .001), with significant reductions regardless of the underlying pathology (P < .001 to P < .05). Six of 13 patients with pretreatment ambulatory impairment required fewer ambulatory aids and 3 were newly ambulatory. Extravertebral cement migration was noted in 18 procedures; however, no instance was clinically relevant. Six repeat or contralateral procedures were performed. No morbidity was encountered.
conclusionSacroplasty is a safe and effective option for the palliation of sacral fractures in the oncologic population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.