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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Spine Surgery
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917777/ https://www.ncbi.nlm.nih.gov/pubmed/27340538 http://dx.doi.org/10.4184/asj.2016.10.3.558 |
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author | Sudhir, G. K. L., Kalra Acharya, Shankar Chahal, Rupinder |
author_facet | Sudhir, G. K. L., Kalra Acharya, Shankar Chahal, Rupinder |
author_sort | Sudhir, G. |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-4917777 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Korean Society of Spine Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-49177772016-06-23 Sacral Insufficiency Fractures Mimicking Lumbar Spine Pathology Sudhir, G. K. L., Kalra Acharya, Shankar Chahal, Rupinder Asian Spine J Case Report 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. Korean Society of Spine Surgery 2016-06 2016-06-16 /pmc/articles/PMC4917777/ /pubmed/27340538 http://dx.doi.org/10.4184/asj.2016.10.3.558 Text en Copyright © 2016 by Korean Society of Spine Surgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Sudhir, G. K. L., Kalra Acharya, Shankar Chahal, Rupinder Sacral Insufficiency Fractures Mimicking Lumbar Spine 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 | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4917777/ https://www.ncbi.nlm.nih.gov/pubmed/27340538 http://dx.doi.org/10.4184/asj.2016.10.3.558 |
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