PMID- 34178201
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210629
IS  - 1930-0433 (Print)
IS  - 1930-0433 (Electronic)
IS  - 1930-0433 (Linking)
VI  - 16
IP  - 8
DP  - 2021 Aug
TI  - CT-guided percutaneous bilateral sacroiliac joint arthroplasty.
PG  - 2266-2273
LID - 10.1016/j.radcr.2021.05.047 [doi]
AB  - Pelvic fractures and sacroiliac joint (SI) diastasis are debilitating injuries 
      which can drastically decrease an individual's functional capacity, and lead to 
      significant morbidity and mortality. In younger, healthier populations, pelvic 
      fractures are usually the result of sudden traumatic forces, such as a motor 
      vehicle collision. Atraumatic pelvic fractures can also occur, and are most 
      commonly due to age related changes and osteoporosis. Even with prompt surgical 
      management, pelvic fractures often result in a host of challenging complications 
      such as disruption of the SI joint with subsequent limitations in mobility and 
      chronic pain. In this case report, we present a novel treatment of SI diastasis, 
      secondary to corticosteroid induced osteoporosis and pelvic fractures. We 
      performed percutaneous bilateral poly-methyl-methacrylate (PMMA) SI joint fusions 
      under CT-guidance. Here we describe a case of bilateral SI joint CT guided 
      percutaneous arthroplasty for osteoporotic SI joint diastasis and pelvic 
      fractures, resulting in a rapid resolution of SI joint pain and restoration of 
      the ability to ambulate in a previously wheelchair-bound patient. This may be of 
      particular benefit in patients who are poor surgical candidates who experience 
      osteoporotic fractures and would be otherwise unable to receive definitive 
      operative management of their pathologic fractures.
CI  - (c) 2021 The Authors. Published by Elsevier Inc. on behalf of University of 
      Washington.
FAU - Johnston, Gregory
AU  - Johnston G
AD  - University of Vermont Medical Center, 111 Colchester Ave, Burlington, VT 05401, 
      United States.
FAU - Berg, Adrian
AU  - Berg A
AD  - University of Vermont Medical Center, 111 Colchester Ave, Burlington, VT 05401, 
      United States.
FAU - Morris, Christopher S
AU  - Morris CS
AD  - University of Vermont Medical Center, 111 Colchester Ave, Burlington, VT 05401, 
      United States.
LA  - eng
PT  - Case Reports
DEP - 20210617
PL  - Netherlands
TA  - Radiol Case Rep
JT  - Radiology case reports
JID - 101467888
PMC - PMC8214194
OTO - NOTNLM
OT  - Bone Cement
OT  - Interventional radiology
OT  - PMMA
OT  - Percutaneous
OT  - Sacroiliac
EDAT- 2021/06/29 06:00
MHDA- 2021/06/29 06:01
PMCR- 2021/06/17
CRDT- 2021/06/28 05:58
PHST- 2021/05/10 00:00 [received]
PHST- 2021/05/16 00:00 [revised]
PHST- 2021/05/16 00:00 [accepted]
PHST- 2021/06/28 05:58 [entrez]
PHST- 2021/06/29 06:00 [pubmed]
PHST- 2021/06/29 06:01 [medline]
PHST- 2021/06/17 00:00 [pmc-release]
AID - S1930-0433(21)00342-3 [pii]
AID - 10.1016/j.radcr.2021.05.047 [doi]
PST - epublish
SO  - Radiol Case Rep. 2021 Jun 17;16(8):2266-2273. doi: 10.1016/j.radcr.2021.05.047. 
      eCollection 2021 Aug.