Combined Sacroplasty and Iliosacral Fixation Using Triangular Titanium Implants for the Treatment of Sacral Insufficiency Fractures with Concomitant Sacral Instability

Sacral insufficiency fractures (SIFs) are a common, under-recognized cause of debilitating low back pain, particularly in elderly patients with osteoporotic bone disease or risk factors for bone demineralization. Conservative therapy has been the mainstay of treatment for these types of fractures. This places patients at increased risk for the development of secondary illnesses associated with prolonged immobility, which might prevent a full return to the preinjury level of function. Surgical intervention for SIFs has increased over the past two decades in an attempt to overcome these complications and improve patient functionality. Sacroplasty and iliosacral screw stabilization are two specific procedures performed to treat SIFs. The purpose of this case report is to further document the existence of this condition, as well as to detail a novel approach for surgically treating this condition with a combination of the above procedures.