C-arm Fluoroscopy Guided Sacroplasty for the Treatment of Sacral 1 Vertebral Body Lesions
Objective:To evaluate the feasibility,short-term efficacy and safety of C-arm fluoroscopic guided transpedicle approach sacrplasty for the treatment of sacral 1 vertebral lesions.Methods:From June 2018 to June 2021,the data of 17 patients in Wuxi People's Hospital who underwent percutaneous sacral arthroplasty under C-arm fluoroscopy guidance for the treatment of sacral 1 vertebral body lesions were retrospectively analyzed.The clinical efficacy within 1 year after surgery was regularly evaluated,and the postoperative complications were recorded.Results:All the 17 cases of sacral 1 vertebroplasty were successful.The average paracanthoplasty distance was(4.5±0.5)cm and the bone cement was(3.8±1.1)mL/segment.Visual analogue score(VAS):(7.47±1.33)points before surgery,(3.06±1.15)points 1 day after surgery,(2.69±0.48)points 7 days after surgery,(2.63±0.62)points 1 month after surgery,(2.81±0.54)points 6 months after surgery,and(2.79±0.70)points 1 year after surgery.Postoperative CT confirmed 1 case of sacral canal leakage and 2 cases of intervertebral disc leakage,with no clinical symptoms and no complications related to puncture path injury.Conclusion:The C-arm fluoroscopic guided transpedicle approach sacral arthroplasty is a safe and feasible technique for the treatment of sacral 1 vertebral body lesions,and the short-term analgesic effect is significant.
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