PM&R
Volume 2, Issue 2 , Pages 162-164 , February 2010

Sacral Insufficiency Fracture: A Masquerader of Diskogenic Low Back Pain

  • David S. Cheng, MD

      Affiliations

    • Department of Rehabilitation Medicine, New York Presbyterian Hospital, Hospital for Special Surgery, Harkness Pavilion 1st Floor Room 180, 180 Fort Washington Ave., New York, NY 10032†
    • Corresponding Author InformationAddress correspondence to: D.S.C.
    • ,
  • Richard J. Herzog, MD, FACR

      Affiliations

    • Hospital for Special Surgery, New York, NY‡
    • ,
  • Gregory E. Lutz, MD

      Affiliations

    • Hospital for Special Surgery, New York, NY§

Received 5 September 2009 ,Accepted 19 November 2009.

References 

  1. Tsiridis E, Upadhyay N, Giannoudis PV. Sacral insufficiency fractures: Current concepts of management. Osteoporos Int. 2006;17:1716–1725
  2. Blake S, Connors A. Sacral insufficiency fracture. Br J Radiol. 2004;77:891–896
  3. Fanciullo J, Bell C. Stress fractures of the sacrum and lower extremity. Curr Opin Rheumatol. 1996;8:158–162
  4. Bono C. Low-back pain in athletes. J Bone Joint Surg Am. 2004;86:382–396
  5. Micheli L, Curtis C. Stress fractures in the spine and sacrum. Clin Sports Med. 2006;25:75–88
  6. Frey ME, DePalma MJ, Cifu DX, Bhagia SM, Daitch JS. Efficacy and safety of percutaneous sacroplasty for painful osteoporotic sacral insufficiency fractures: A prospective, multicenter trial. Spine. 2007;32:1635–1640
  7. Featherstone T. Magnetic resonance imaging in the diagnosis of sacral stress fracture. Br J Sports Med. 1999;33:276–284
  8. Grangier C, Garcia J, Nowarth NR, May M, Rossier P. Role of MRI in the diagnosis of insufficiency fractures of the sacrum and acetabular roof. Skeletal Radiol. 1997;26:517–524
  9. Byun WM, Jang HW, Kim SW, et al. Diffuse-weighted magnetic resonance imaging of sacral insufficiency fractures. Spine. 2007;32:E820–E824
  10. Shah M, Stewart G. Sacral stress fracture: An unusual cause of low back pain in an athlete. Spine. 2002;27:E104–E108

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

PII: S1934-1482(09)01588-3

doi: 10.1016/j.pmrj.2009.11.009

PM&R
Volume 2, Issue 2 , Pages 162-164 , February 2010

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