Second generation robotic-assisted percutaneous balloon sacroplasty

Sacroplasty is one of the surgical modalities described in the treatment of sacral insufficiency fractures that don’t respond to non-operative treatment. While the percutaneous procedure is generally done under sedation, complications can arise from cement leakage into the spinal canal and sacral foramina. We present a case of Robotic-Assisted Percutaneous Balloon Sacroplasty in a patient with unilateral sacral insufficiency fracture using the MazorX stealth edition. A 55-year-old female presented with a left-sided sacral insufficiency fracture which was not responding to non-operative treatment. She underwent Robotic-Assisted Percutaneous Balloon Sacroplasty using the robotic arm and navigation capabilities of the MazorX stealth edition. About 9 mL of bone cement with hydroxyapatite was injected into the S1 body and left ala. The patient was mobilized post-operatively with minimal pain, 2 h after the procedure. Robotic assistance in percutaneous balloon sacroplasty ensures proper tracks for injection of bone cement with reduced chances of cement leakage.