AIM: Sacral insufficiency fracture is an important cause of lower back and groin pain among the osteoporotic population. Diagnosis and treatment of SIFs are challenging. Currently, surgical treatment includes sacroplasty under C-arm fluoroscopy or computed tomography. Both techniques have a risk of accuracy and high radiation exposure. A sacral insufficiency fracture patient treated using robotic assisted surgery is presented and present literature is discussed.

METHOD: A bilateral sacral insufficiency fracture patient with an additional L5 osteoporotic vertebra fracture is treated by bilateral percutaneous vertebroplasty using robotic assisted surgery.

RESULTS: Robotic assisted surgery provided less x-ray exposure to the patient and the surgeon with additional accuracy and comfort.

CONCLUSION: Robotic assisted surgery in treatment of sacral insufficiency fracture can be an important alternative method.