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Chapter 17 - Sacral Insufficiency Fractures

from Part IV - Spine

Published online by Cambridge University Press:  01 December 2023

Omar Viswanath
Affiliation:
Creighton University, Omaha
Ivan Urits
Affiliation:
Southcoast Brain & Spine Center, Wareham
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Summary

Sacral insufficiency fracture (SIF) is not uncommon, especially in the elderly, and is associated with a significant decrease in quality of life. SIF is most frequently found in patients with sacroiliac joint pathology in the setting of a sacrum compromised due to conditions such as osteoporosis, rheumatoid arthritis, or radiation therapy. Nonspecific symptoms of SIF make diagnosis challenging. MRI is the gold standard for diagnosis of SIF. Traditional therapies revolved around conservative measures such as bed rest, physical therapy, and analgesia. Conservative management is safe; minimally invasive treatments such as sacroplasty may provide improved short- and long-term relief. Surgical management with screw fixation is a viable option for qualifying patients and can be offered in conjunction with cement augmentation.

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Publisher: Cambridge University Press
Print publication year: 2023

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