Percutaneous Sacroplasty Treating Sacral Insufficiency Fracture: A Case Series of Clinical Outcome

Background: Sacral insufficiency fractures (SIF) are stress-related fractures in the sacrum, commonly occurring in elderly individuals due to osteoporosis. Objectives: Sacroplasty has shown to greatly relieve pain, restore mobility quickly, and pose minimal risk of complications. Materials and Methods: Medical records were reviewed retrospectively for patients receiving sacroplasty. Clinical outcomes were assessed using ODI, VAS, and functional ambulation to compare preoperative disability with postoperative improvement. Postoperative radiographs were assessed to determine whether cement had leaked into the sacral foramina. Results: We reviewed 12 patients. Initial VAS scores averaged 6–7/10 and declined significantly within one week after surgery. ODI improved from 58–86% reoperatively to 30–56% postoperatively. Two cases of cement extravasation were detected on postoperative imaging but both remained asymptomatic at final follow-up. Conclusion: Percutaneous sacroplasty is an effective minimally invasive procedure for treating SIF, providing high efficacy with a low risk of complications.