Transsacral-Transiliac Screw Stabilization: Effective for Recalcitrant Pain Due to Sacral Insufficiency Fracture.

Abstract

To evaluate the effectiveness of transsacral-transiliac screw fixation for the treatment of sacral insufficiency fractures that fail nonoperative treatment. A pilot study series of consecutive patients identified over 5 years were treated and followed prospectively. Academic-affiliated, tertiary referral, level 1 trauma center in Dallas, TX. Patients were selected on the basis of presenting diagnosis, and failure of nonoperative treatment of their sacral insufficiency fracture. Eleven patients entered to the study, and 10 completed follow-up. Placement of transsacral-transiliac screws for sacral insufficiency fracture. Comparison of preoperative and postoperative Visual Analog Scale scores and Oswestry Low Back Disability Index scores. Patients experienced statistically significant improvement in both outcome measures after intervention. No complications encountered. Transsacral-transiliac screw fixation seems to be a safe and effective treatment for sacral insufficiency fractures recalcitrant to nonoperative management. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.