Vertebral body fractures are most commonly observed fractures of the patients with osteoporosis. Most often are observed in the thoraco-lumbar junction and thoracic spine. It is rather seldom observed in the sacral bone. In case where sacral fracture was diagnosed in patient with osteoporosis, the available treatment procedures are similar to those used in the other vertebral compression fractures. Contemporary treatment protocol along with pharmacotherapy to slow down the bone turn-over, rehabilitation, orthotic treatment, advocates also for percutaneous injection with the bone cement of the sacral bone – sacroplasty.
Sacroplasty procedure gives chance to decrease the pain related to the fracture, limiting the immobilisation time, directly related to the bone density loss. The procedure can be performed in local anaesthesia with sedation, which is beneficial for elderly patients with co-morbidities. Contraindications for it are similar to those underlined in the rest of the spine: posterior wall fracture endangering the cement leakage to the spinal canal, neurological symptoms aggravated by the fracture occurrence, as well the general ones. In spite the sacroplasty is to be considered low risk procedures, serious complication might be observed. The most serious are cement leakage into the spinal canal or pulmonary or central nervous system embolisation with the cement. Sacroplasty, similarly to the vertebroplasty in the thoracic or lumbar spine might be a suitable procedure in osteoporotic fracture treatment of the sacrum.