Sacral Insufficiency Fractures Mimicking Lumbar Spine Pathology
Sacral insufficiency fractures (SIFs) are a common cause of back pain in the elderly. SIFs mimic the symptoms of lumbar spine pathology and so are commonly missed or underdiagnosed. Here we present four cases of missed SIFs that were subsequently identified and treated. One patient was treated as me...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2016-06-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-10-558.pdf |
| _version_ | 1819227644781133824 |
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| author | G. Sudhir Kalra K. L. Shankar Acharya Rupinder Chahal |
| author_facet | G. Sudhir Kalra K. L. Shankar Acharya Rupinder Chahal |
| author_sort | G. Sudhir |
| collection | DOAJ |
| description | Sacral insufficiency fractures (SIFs) are a common cause of back pain in the elderly. SIFs mimic the symptoms of lumbar spine pathology and so are commonly missed or underdiagnosed. Here we present four cases of missed SIFs that were subsequently identified and treated. One patient was treated as mechanical lower back ache, another patient underwent root block and two patients underwent surgery for lumbar canal stenosis. None experienced relief of their symptoms after these procedures. Retrospective analysis of X-ray and magnetic resonance imaging data revealed SIFs that were confirmed by computed tomography scans. All four patients were treated for underlying osteoporosis. Two patients who underwent surgery were treated conservatively and other two were treated by sacroplasty involving injection of cement into the fracture. Sacroplasty produced immediate pain relief and early mobilization compared to the conservative group. SIFs should always be considered in the differential diagnosis of an elderly patient presenting with low back symptoms. Sacroplasty can be considered for immediate pain relief and rapid mobilization. |
| first_indexed | 2024-12-23T10:44:40Z |
| format | Article |
| id | doaj.art-ce1101982f69484d8471a0bfc055e746 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-23T10:44:40Z |
| publishDate | 2016-06-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-ce1101982f69484d8471a0bfc055e7462022-12-21T17:50:05ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462016-06-0110355856410.4184/asj.2016.10.3.558119Sacral Insufficiency Fractures Mimicking Lumbar Spine PathologyG. Sudhir0Kalra K. L.1Shankar Acharya2Rupinder Chahal3Ortho Spine Department, Sir GangaRam Hospital, New Delhi, India.Ortho Spine Department, Sir GangaRam Hospital, New Delhi, India.Ortho Spine Department, Sir GangaRam Hospital, New Delhi, India.Ortho Spine Department, Sir GangaRam Hospital, New Delhi, India.Sacral insufficiency fractures (SIFs) are a common cause of back pain in the elderly. SIFs mimic the symptoms of lumbar spine pathology and so are commonly missed or underdiagnosed. Here we present four cases of missed SIFs that were subsequently identified and treated. One patient was treated as mechanical lower back ache, another patient underwent root block and two patients underwent surgery for lumbar canal stenosis. None experienced relief of their symptoms after these procedures. Retrospective analysis of X-ray and magnetic resonance imaging data revealed SIFs that were confirmed by computed tomography scans. All four patients were treated for underlying osteoporosis. Two patients who underwent surgery were treated conservatively and other two were treated by sacroplasty involving injection of cement into the fracture. Sacroplasty produced immediate pain relief and early mobilization compared to the conservative group. SIFs should always be considered in the differential diagnosis of an elderly patient presenting with low back symptoms. Sacroplasty can be considered for immediate pain relief and rapid mobilization.http://www.asianspinejournal.org/upload/pdf/asj-10-558.pdfSacral insufficiency fracturesOsteoporosisLumbar pathology |
| spellingShingle | G. Sudhir Kalra K. L. Shankar Acharya Rupinder Chahal Sacral Insufficiency Fractures Mimicking Lumbar Spine Pathology Asian Spine Journal Sacral insufficiency fractures Osteoporosis Lumbar pathology |
| title | Sacral Insufficiency Fractures Mimicking Lumbar Spine Pathology |
| title_full | Sacral Insufficiency Fractures Mimicking Lumbar Spine Pathology |
| title_fullStr | Sacral Insufficiency Fractures Mimicking Lumbar Spine Pathology |
| title_full_unstemmed | Sacral Insufficiency Fractures Mimicking Lumbar Spine Pathology |
| title_short | Sacral Insufficiency Fractures Mimicking Lumbar Spine Pathology |
| title_sort | sacral insufficiency fractures mimicking lumbar spine pathology |
| topic | Sacral insufficiency fractures Osteoporosis Lumbar pathology |
| url | http://www.asianspinejournal.org/upload/pdf/asj-10-558.pdf |
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