• World Neurosurg · Nov 2024

    Outcomes associated with functional mobility and pain amelioration in 49 patients after sacroplasty: a single-center study.

    • Mickael Maldinez, Prescillia Nunes, Pierre Thouant, Aurélie Bertaut, Brivael Lemogne, Frédéric Ricolfi, and Pierre Olivier Comby.
    • Service de Neuroradiologie et Imagerie des Urgences, CHU DIJON, 14 Rue Paul Gaffarel, 21000 DIJON, France. Electronic address: mickael.maldinez@gmail.com.
    • World Neurosurg. 2024 Nov 22.

    PurposeThis study aimed to determine the predictive factors for analgesic reduction and amelioration of mobility following percutaneous sacroplasty in patients with insufficiency fractures or metastatic lesions.Materials And MethodsA single-center retrospective analysis of 49 patients who underwent percutaneous sacroplasty for insufficiency fractures and sacral pathological lesions was conducted. Visual analog scale (VAS), Functional Mobility Scale (FMS), and Oswestry Disability Index (ODI) were assessed. All data were accessed immediately before and 1 month after the procedure.ResultsThirty-one patients (63.3%) experienced a significant reduction in VAS score, 36 (73.5%) experienced amelioration of FMS, and 20 (40.8%) fell within the ODI at 1 month. The mean VAS score was 7.8 (median [min-max] = 8 [3-10]) pre-procedure and 3.4 (median [min-max] = 3 [0-8]) post-procedure. The mean ODI was 0.5 (median [min-max] = 0.5 [0.3-0.8] pre-procedure and 0.3 (median [min-max] = 0.3 [0-0.7]) post-procedure. The mean FMS was 2.6 (median [min-max] = 3 [1-5]) pre-procedure and 1.2 (median [min-max] = 1 [0-4]) post-procedure. There was a statistically significant increase in VAS amelioration in patients without concomitant vertebroplasty (OR = 4.16, IR [1.09; 15.79], p < 0.05). Major complications were not observed. In terms of long-term satisfaction, only two patients reported that they would not undergo the same procedure again.ConclusionPercutaneous sacroplasty was effective for pain relief, functional outcomes, and short-term satisfaction. The absence of concomitant vertebroplasty was significantly associated with VAS improvements.Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.

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