Comparison of patients with diagnosed and suspected sacral insufficiency fractures

Kinoshita, Hayato; Miyakoshi, Naohisa; Kobayashi, Takashi; Abe, Tomoki; Kikuchi, Kazuma; Shimada, Yasuhiro

doi:10.1016/j.jos.2018.12.004

Cited by 17 publications

(17 citation statements)

References 15 publications

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“…But it is important to note that not all SIF develops after RT. 1 of the most significant factors in the development of SIF is osteoporosis [27] , [28] , [29] . However, the assessment of bone mineral density (BMD) by dual-energy X-ray absorption scanning is not common, especially in patients with cervical cancer.…”

Section: Discussionmentioning

confidence: 99%

Diagnosing sacral insufficiency fractures after radiotherapy in women with cervical cancer: Report of three cases

Sabaliauskas

Tiškevičius

2021

Radiology Case Reports

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Introduction Diagnosing sacral insufficiency fractures (SIF) in oncology patients is a challenge to radiologists, and recognition of imaging features is essential in order to avoid misdiagnosis of bone metastases and prevent patients from inaccurate treatment. Clinical cases in order to better understand the essence of this pathology and to make diagnosis easier, we present three clinical cases of SIF in patients with cervical cancer. All patients received radiation therapy (external beam radiation and brachytherapy) and chemotherapy with cisplatin. Patients underwent pelvic MRI, CT, SPECT or SPECT/CT examinations. One patient underwent a FDG-PET/CT examination. Conclusions SPECT/CT should be included in the differential diagnostics when radiological features of pelvic bone pathology on CT or MRI are undetermined or SIF are suspected. SIF must always be considered in oncology patients with pelvic pain, especially in postmenopausal state and after radiation therapy. For patients with osteoporosis, bone density screening and precise review of the most common fracture sites are recommended.

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Section: Discussionmentioning

confidence: 99%

Diagnosing sacral insufficiency fractures after radiotherapy in women with cervical cancer: Report of three cases

Sabaliauskas

Tiškevičius

2021

Radiology Case Reports

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“…cabarrus i suradnici pokazali su da su lezije mekih tkiva na mr-u prepoznate u 99% bolesnika u usporedbi s njih tek 12,6% vidljivih na ct-u (15). Valja naglasiti da su obje metode znatno bolje u detekciji prijeloma acetabuluma i sakruma u usporedbi sa standardnom radiografijom (15,25).…”

Section: Discussionunclassified

Sacral insufficiency fractures – a commonl y overlooked cause of low back and pelvic pain; a case report and literature review

Vujaklija

Luke-Vrbanić

2021

Reumatizam

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Danijela veljković vujaklija 1 , Tea Schnurrer Luke-vrbanić 2 1 department of radiology, clinical Hospital centre rijeka, rijeka / klinički zavod za radiologiju, kbc rijeka, rijeka; 2 department of Physical and rehabilitation medicine, clinical Hospital centre rijeka, rijeka / zavod za fizikalnu i rehabilitacijsku medicinu, kbc rijeka, rijeka corresponding author / Adresa autora za dopisivanje: Prof. dr. sc. Tea Schnurrer-Luke-Vrbanić department of Physical and rehabilitation medicine / zavod za fizikalnu i rehabilitacijsku medicinu clinical Hospital centre rijeka / kbc rijeka krešimirova 42, 51000 rijeka croatia / Hrvatska Phone /

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“…Conservative treatment options should be offered first to patients with SIF [6]. Contrary to previous studies, recent research suggests that early mobilization improves outcomes and reduces complications [8].…”

Section: Past Medical Historymentioning

confidence: 96%

“…Additionally, SIF are difficult to diagnose using x-ray scans alone. These factors make a definitive diagnosis of SIF difficult to achieve [6,7].…”

Section: Introductionmentioning

confidence: 99%

Effect of Complex Korean Medicine Treatment on Sacral Insufficiency Fracture: A Case Report

et al. 2020

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Sacral insufficiency fractures (SIF) are a common, but often underdiagnosed source of lower back pain without apparent trauma. This report presents the clinical outcome of a 75-year-old female with SIF, and an underlying medical history of osteoporosis and rheumatoid arthritis. She was treated non-operatively, in-hospital, with Korean medicine. Patient progress was assessed using the numerical rating scale and selfreported symptoms. Post-treatment, the numerical rating scale score for pain in her hip decreased from 7 to 2. At admission, the patient was unable to sit, and could only walk 3 m with assistance. At discharge, she could sit for longer than 1 hour and walk further than 200 m unassisted. On the follow-up visit, the patient was asymptomatic, and x-ray scans showed ossification of the sacral and pubic fractures. These results suggest that, Korean medicine can effectively reduce pain and aid rehabilitation in patients with SIF, without the need for surgery.

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Comparison of patients with diagnosed and suspected sacral insufficiency fractures

Cited by 17 publications

References 15 publications

Diagnosing sacral insufficiency fractures after radiotherapy in women with cervical cancer: Report of three cases

Diagnosing sacral insufficiency fractures after radiotherapy in women with cervical cancer: Report of three cases

Sacral insufficiency fractures – a commonl y overlooked cause of low back and pelvic pain; a case report and literature review

Effect of Complex Korean Medicine Treatment on Sacral Insufficiency Fracture: A Case Report

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