Sacral insufficiency fractures: an easily overlooked cause of back pain in the ED.
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Affiliation
Department of Emergency Medicine, Cork University Hospital, Cork, Ireland. johng442@hotmail.comIssue Date
2011-03MeSH
AgedBack Pain
Emergency Service, Hospital
Female
Fractures, Stress
Humans
Sacrum
Tomography, X-Ray Computed
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Sacral insufficiency fractures: an easily overlooked cause of back pain in the ED. 2011, 29 (3):359.e5-6 Am J Emerg MedJournal
The American journal of emergency medicineDOI
10.1016/j.ajem.2010.04.015PubMed ID
20675092Abstract
Sacral insufficiency fractures are an important and treatable cause of severe back pain. Despite publication of several case reports since its original description in 1982, awareness of these injuries remains inadequate in emergency medicine. Most patients are elderly women presenting with intractable lower back pain. Postmenopausal osteoporosis is the most significant risk factor. Marked sacral tenderness is common. Neurologic impairment is rarely detectable. Routine radiography of the spine and pelvis is usually inconclusive. Computed tomography remains the diagnostic modality of choice. Treatment is usually conservative.Item Type
ArticleLanguage
enISSN
1532-8171ae974a485f413a2113503eed53cd6c53
10.1016/j.ajem.2010.04.015
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