Anyone doing this in the USA yet? Trans‐sacral bar osteosynthesis
IT is like a bolt through the entire sacrum and (both?) ileus instead of or in addition to screws. Can be done Minimally Invasive. Cam be used with osteoporosis of sacrum.
s41598-021-93559-0 transacral bar success (s41598-021-93559-0-transacral-bar-success.pdf)
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I don’t see how it’s minimally invasive, and it is for compression fractures and fragility not for simple sacral pains. I had sacral pains with arthritis for 30 years with many things considered as the sacral joints are tight and arthritis has grown. I have a great orthopedic surgeon who wanted to do some relatively Non-invasive things as well as a pain management Doctor Who wanted to do some other minimally invasive things. I’m glad I did not act on either. And I explored other options. For the most part my 30 years of arthritic pain in my sacral joints bilaterally is now being managed. Super well with nothing invasive. Two things resolved my issue: one was finding a fantastic MFR therapist(deep myofascial tissue release) there’s a section in this forum about MFR. It’s easy Peezy and you may have to pay for it, but it certainly worth every penny as now my sacral joint pains have been resolved. The second thing is exercise. I used to walk but the sacral pain kind of interfered with the ability to do that. Now that I’ve had the myofascial tissue release (not just once but overtime I go twice a month) I can do walking and even stationary bicycle riding that I haven’t been able to do for decades. It seems that the pain was from a combination of degenerative things that were resolvable in my case without surgery in my sacral joints. A lot of people have sacral and sciatic issues and they really need to be patient and get to the route of what the problem really is. If there are fragility fractures, that’s a whole other ballpark. Here’s a great article: https://orthopedicreviews.openmedicalpublishing.org/article/38572-fragility-fractures-of-the-sacrum-a-silent-epidemic
This procedure can be utilized for a select group of patients with osteoporosis and fragile bones of the pelvis. I could not find much in the way of large scale clinical studies in the USA, only small numbers of less than 50 subjects. I’d be cautious having this performed on me unless it was a last resort. It’s doubtful you’ll be able to find a physician is the states with much experience doing this procedure so realize you may become a guinea pig. It always better to have a surgeon with documented experience in performing a procedure before they cut on you.
https://pubmed.ncbi.nlm.nih.gov/34244526/
https://www.mdpi.com/2077-0383/13/17/5244