Sacral insufficiency fractures: an easily overlooked cause of back pain in elderly women

1996 ◽  
Vol 156 (6) ◽  
pp. 668-674 ◽  
Author(s):  
A. Grasland
Keyword(s):  
Back Pain ◽  
Elderly Women ◽  
Insufficiency Fractures ◽  
Sacral Insufficiency Fractures

Poster 312: Bilateral Sacral Insufficiency Fractures in a Patient with Low Back Pain: A Case Report

PM&R ◽  
2018 ◽  
Vol 10 ◽  
pp. S104-S104
Author(s):  
Ashley Michael ◽  
Vandana Sood ◽  
Brian M. Bruel ◽  
Kenneth Kemp
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Low Back ◽  
Insufficiency Fractures ◽  
Sacral Insufficiency Fractures

Imaging in spinal trauma

2011 ◽  
Author(s):  
P. McNee ◽  
S. Gaba ◽  
E. McNally
Keyword(s):  
Back Pain ◽  
Soft Tissue ◽  
Chronic Back Pain ◽  
Spinal Trauma ◽  
Insufficiency Fractures ◽  
Clinical Criteria ◽  
Plain Films ◽  
Disc Herniations ◽  
Sacral Insufficiency Fractures

♦ Clinical criteria and the nature of the injury determine who needs imaging♦ Plain films are still commonly employed though CT finds more fractures♦ Alignment, bony contour, cartilage (Disc and facets) and soft tissue are assessed in turn (ABC’S)♦ CT is superior to MRI in assessing the bony configuration of fracture♦ MRI is superior to CT in assessing the ligament tears and associated disc herniations♦ Plain films have little role in the assessment of more chronic back pain and radiculopathy♦ Sacral insufficiency fractures may be misdiagnosed as metastases on MRI.

Sacral Insufficiency Fractures Presenting as Acute Low-Back Pain

Spine ◽  
1993 ◽  
Vol 18 (16) ◽  
pp. 2502-2506 ◽  
Author(s):  
Jean Louis Leroux ◽  
Bruno Denat ◽  
Eric Thomas ◽  
Francis Blotman ◽  
François Bonnel
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Insufficiency Fractures ◽  
Acute Low Back Pain ◽  
Sacral Insufficiency Fractures

scholarly journals Balloon kyphoplasty for treatment of sacral insufficiency fractures

2005 ◽  
Vol 18 (3) ◽  
pp. 1-5 ◽  
Author(s):  
H. Gordon Deen ◽  
Eric W. Nottmeier
Keyword(s):  
Image Guidance ◽  
Elderly Women ◽  
Insufficiency Fracture ◽  
Balloon Kyphoplasty ◽  
Fracture Site ◽  
Intractable Pain ◽  
Insufficiency Fractures ◽  
Sacral Insufficiency Fracture ◽  
Analgesic Medication ◽  
Sacral Insufficiency Fractures

Sacral insufficiency fracture is a painful injury, for which no effective treatment currently exists. The objective of this study was to report on the clinical outcomes and technical aspects of balloon kyphoplasty, which was used in three patients with this injury. Three elderly women with intractable pain from sacral insufficiency fractures were treated with polymethyl methacrylate (PMMA) injections into the sacrum by using a modified balloon kyphoplasty procedure. The visual analog scale pain score improved by four points in each case. Functional status was improved and analgesic medication requirements were decreased in all three patients. There were no complications associated with the procedure. Because of the unique anatomy of the sacrum, it was difficult to monitor instrument placement and PMMA injection by using conventional fluoroscopy. BrainLAB image guidance was used in one case, and was helpful in guiding instrument placement and assuring accurate PMMA deposition at the fracture site. Balloon kyphoplasty may be a treatment alternative in selected patients with sacral insufficiency fractures. BrainLAB image guidance may offer some advantages over conventional fluoroscopy with regard to the monitoring of instrument placement and PMMA injection.

scholarly journals Sacral insufficiency fractures: an unsuspected cause of low back pain [clinical conference]

Rheumatology ◽  
1998 ◽  
Vol 37 (7) ◽  
pp. 789-793 ◽  
Author(s):  
B. Dasgupta ◽  
N. Shah ◽  
H. Brown ◽  
T. E. Gordon ◽  
A. B. Tanqueray ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Insufficiency Fractures ◽  
Sacral Insufficiency Fractures

Sacral insufficiency fractures: an easily overlooked cause of back pain in the ED

2011 ◽  
Vol 29 (3) ◽  
pp. 359.e5-359.e6 ◽  
Author(s):  
John G. Galbraith ◽  
Joseph S. Butler ◽  
Simon P. Blake ◽  
Gemma Kelleher
Keyword(s):  
Back Pain ◽  
Insufficiency Fractures ◽  
Sacral Insufficiency Fractures

Percutaneous Sacroplasty for Sacral Insufficiency Fractures: Case Series and Review of Presentation, Diagnosis, and Treatment

2019 ◽  
Vol 3 ◽  
pp. 4
Author(s):  
Andrew C. Clark ◽  
Devang Butani
Keyword(s):  
Low Back Pain ◽  
Elderly Population ◽  
Case Series ◽  
The Elderly ◽  
Treatment Method ◽  
Open Reduction Internal Fixation ◽  
Low Back ◽  
Insufficiency Fractures ◽  
Invasive Treatment ◽  
Sacral Insufficiency Fractures

Sacral insufficiency fractures (SIFs) are a cause of debilitating low back pain that is often difficult to diagnosis and manage. The diagnosis of SIF is often delayed due to inaccurately attributing symptoms to spondylosis, which is a commonly present in the elderly population where SIFs are most prevalent. Historically, treatment consisted of medical management and open reduction internal fixation reserved for severe cases. However, percutaneous sacroplasty has emerged as a minimally invasive treatment option which provides early pain relief without significant complications. The objective of this article is to raise awareness of SIFs and percutaneous sacroplasty as an effective and safe treatment method.

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