# Radiofrequency sacroplasty as a pain treatment for symptomatic sacral destruction due to prostate metastasis: a case report and a review of the literature

**Authors:** Julian Ramin Andresen, Harald K Widhalm, Reimer Andresen

PMC · DOI: 10.1093/jscr/rjae733 · Journal of Surgical Case Reports · 2025-03-13

## TL;DR

This paper reports a successful case of using radiofrequency sacroplasty to treat severe sacral pain caused by prostate cancer metastasis.

## Contribution

The paper presents a novel application of radiofrequency sacroplasty for treating sacral destruction due to prostate cancer.

## Key findings

- Radiofrequency sacroplasty provided significant pain relief in a patient with prostate cancer-induced sacral destruction.
- Cement augmentation techniques have shown improved mobility and pain reduction in cases of sacral bone destruction.
- Literature supports the use of cement-based interventions for pathological sacral fractures.

## Abstract

In progressive malignant diseases such as prostate cancer, metastatic bone destruction is a frequent cause of chronic, debilitating pain. Pathological fractures of the sacrum can lead to complete immobility in patients. Cement augmentation of the sacrum has proven effective in treating sacral insufficiency fractures, resulting in significant pain reduction and improved mobility. In recent years, this technique has also been applied to pathological fractures of the sacrum. We present a case of successful treatment of prostate cancer-induced sacral bone infiltration and destruction using advanced radiofrequency sacroplasty. Literature reports describe individual cases of sacral bone destruction, where cement augmentation using various methods has led to substantial pain relief and improved overall outcomes.

## Linked entities

- **Diseases:** prostate cancer (MONDO:0005159)

## Full-text entities

- **Diseases:** prostate metastasis (MESH:D011472), sacral insufficiency fractures (MESH:D015775), prostate cancer (MESH:D011471), pain (MESH:D010146), fractures of the sacrum (MESH:C537221), destruction (MESH:D008105)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11906032/full.md

## References

33 references — full list in the complete paper: https://tomesphere.com/paper/PMC11906032/full.md

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Source: https://tomesphere.com/paper/PMC11906032