Introduction: Bone tumors and osteoporosis can induce sacral insufficiency fracture (SIF), resulting in buttock pain due to the mass effect on the spinal canal. Percutaneous sacroplasty (PSP) is an effective treatment and minimally invasive procedure of injecting bone cement with fluoroscopy to assist in restoration in patients with SIF.
Case presentation: A 76-year-old woman presented to our hospital, with intractable buttock pain after a fall. She had also experienced worsening numbness and radiating pain in his left lower limb for approximately 3 months, PSP was requested due to the failure of conservative treatment.
Conclusion: For SIF resulting from plasmacytoma in the sacrum, PSP can be an alternative treatment because PSP has antitumor, stabilizing, and embolizing effects.