Sacral insufficiency fractures: an easily overlooked cause of back pain in the ED.
AffiliationDepartment of Emergency Medicine, Cork University Hospital, Cork, Ireland. email@example.com
Emergency Service, Hospital
Tomography, X-Ray Computed
MetadataShow full item record
CitationSacral insufficiency fractures: an easily overlooked cause of back pain in the ED. 2011, 29 (3):359.e5-6 Am J Emerg Med
JournalThe American journal of emergency medicine
AbstractSacral 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.
- Sacral insufficiency fractures: an often unsuspected cause of low back pain.
- Authors: Stroebel RJ, Ginsburg WW, McLeod RA
- Issue date: 1991 Jan
- [Consequences of occult insufficiency fractures of the sacrum].
- Authors: Briem D, Lehmann W, Grossterlinden L, Begemann PG, Amling M, Rueger JM
- Issue date: 2007 Dec
- Cauda equina syndrome presentation of sacral insufficiency fractures.
- Authors: Muthukumar T, Butt SH, Cassar-Pullicino VN, McCall IW
- Issue date: 2007 Apr
- Insufficiency fractures of the sacrum: a cause of low back pain after lung transplantation.
- Authors: Schulman LL, Addesso V, Staron RB, McGregor CC, Shane E
- Issue date: 1997 Oct
- [Sacral insufficiency, unexpected clinical entity as a cause of low back pain. Report of two cases].
- Authors: Bustamante-Vidales JC, Kleriga-Grossgere E, Zambito-Brondo GF, Higuera-Calleja J
- Issue date: 2012 Nov-Dec