Incidence and clinical features of sacral insufficiency fracture in the emergency department

Tamaki, Yasuhiro; Nagamachi, Akihiro; Inoue, Kazuaki; Takeuchi, Makoto; Sugiura, Kosuke; Omichi, Yasuyuki; Tamaki, Shunsuke; Chikawa, Takashi; Sairyo, Koichi; Adachi, Kazutaka

doi:10.1016/j.ajem.2017.03.037

Cited by 28 publications

(24 citation statements)

References 9 publications

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“…As consistent with other studies in the literature, our study also found a higher rate of SIF in women over 65 years of age. It has been shown in many studies that plain radiographs are inadequate to detect SIF (1,4,8) . Tamaki et al (1) found that the diagnosis of SIF was delayed on average 29.3 days after the referral to the emergency department and they suggested that this delay was caused by the use of plain radiographic examination.…”

Section: Discussionmentioning

confidence: 99%

“…It has been shown in many studies that plain radiographs are inadequate to detect SIF (1,4,8) . Tamaki et al (1) found that the diagnosis of SIF was delayed on average 29.3 days after the referral to the emergency department and they suggested that this delay was caused by the use of plain radiographic examination. SIF are often located in the sagittal plane and parallel to the sacroiliac joint; therefore, scintigraphy also gives non-specific results.…”

Section: Discussionmentioning

confidence: 99%

“…The most common fractures are seen in the vertebral body, hip and wrist, respectively. In recent years, sacral insufficiency fractures (SIF) have become more prevalent due to the increase in the life expectancy of the elderly population (1)(2)(3) . SIF were firstly described by Lourie in 1982.…”

Section: Introductionmentioning

confidence: 99%

“…Because the patients suffering from the SIF could easily deteriorate with surgical trauma, the least possible invasive treatment is recommended (5) . Although the exact incidence of SIF is still unknown, it is reported as between 1% and 1.8% in various studies (1,5) . Studies have shown that almost all osteoporotic fractures, especially osteoporotic vertebrae and hip fractures, are associated with increased mortality risk.…”

Section: Introductionmentioning

confidence: 99%

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Incidence and Mortality of Osteoporotic Sacral Insufficiency Fractures: A Retrospective Singlecentre Study

Haberal¹,

Şimşek²,

Işık³

2020

jtss

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Objective: The incidence of osteoporosis increases with the ageing of the world population. In recent years, sacral insufficiency fractures (SIF) have become more prevalent due to the increase in life expectancy of the elderly population. The aim of this study was to investigate the incidence and the mortality rates of SIF in elderly patients with osteoporosis. Materials and Methods: The records of patients admitted to our hospital between January 2011 and May 2018 were examined. Medical records, radiological images and reports of 245 patients over 65 years of age who had undergone pelvic computed tomography (CT) or magnetic resonance imaging (MRI) for any reason were retrospectively reviewed. Twenty-six patients (three male, 23 female) over 65 years of age who were proven to have osteoporosis with bone mineral densitometry (BMD) values at the time of diagnosis were included in the study. Results: The mean age at the time of diagnosis was 80,5. MRI was used for diagnosis in 20 patients and CT in six patients. The mean value of BMD was found to be-3.62. The most common type of fracture was B1. Surgery was performed in four patients and conservative treatment in 22 patients. Conclusion: Increased risk of fractures due to osteoporosis also increases the risk of SIF. In our study, the incidence of fractures of sacral insufficiency was found to be 12.44% and 5-year mortality was 26.9%.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Incidence and Mortality of Osteoporotic Sacral Insufficiency Fractures: A Retrospective Singlecentre Study

Haberal¹,

Şimşek²,

Işık³

2020

jtss

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“…SIF, in particular, is often overlooked in X-rays because the dislocation is minimal. 4 Patients undergoing radiation therapy for the treatment of malignant tumors may be at special risk of SIF, with a prevalence of 89% in patients submitted to radiotherapy for cervical cancer. Elderly women with osteoporosis are also at high risk.…”

Section: Introductionmentioning

confidence: 99%

Pelvic Insufficiency: Underdiagnosed Condition, Therapeutic Diagnostic Review

García¹,

Estrada²,

Johnson³

2018

Coluna/Columna

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Objective: The importance of sacral fractures has recently been recognized. However, its diagnosis is difficult, both clinically and through image, but there are more options for comprehensive diagnosis. Methods: We conducted a literature review about its diagnosis and the treatments currently offered, and also to check which treatments had the best results. Results: Patients with pelvic insufficiency have limited mobility due to lumbar or pelvic pain. As radiculopathy is a neurologically stable condition, it has a reported incidence of only 5% and sphincter disorders. The pain improves when lying down and increases with load. The treatments vary from conservative to surgical. Discussion: The different treatments were compared, and the one that has more morbidity is the conservative, because it predisposes us to complications (pneumonia, pulmonary embolism, deep vein thrombosis, heart failure, decubitus ulcers); in the interventionists we observe a faster improvement to normal activity of these patients, the complications are minor and the pain improvement is noticeable and much faster. Conclusion: Fractures due to pelvic insufficiency are underdiagnosed. However, there are already better imaging techniques and combined with good exploration and clinical history we can suspect this condition and offer the best possible treatment, these being the invasive ones that have had better results with lower morbidity and recovery of activity much more quickly. Level of Evidence III; Review of therapeutic studies -Investigation of treatment results.Keywords: Fracture; Pelvis; Diagnosis; Therapeutics. RESUMO

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Relations Between Bone Quantity, Microarchitecture, and Collagen Cross‐links on Mechanics Following In Vivo Irradiation in Mice

et al. 2021

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Incidence and clinical features of sacral insufficiency fracture in the emergency department

Cited by 28 publications

References 9 publications

Incidence and Mortality of Osteoporotic Sacral Insufficiency Fractures: A Retrospective Singlecentre Study

Incidence and Mortality of Osteoporotic Sacral Insufficiency Fractures: A Retrospective Singlecentre Study

Pelvic Insufficiency: Underdiagnosed Condition, Therapeutic Diagnostic Review

Relations Between Bone Quantity, Microarchitecture, and Collagen Cross‐links on Mechanics Following In Vivo Irradiation in Mice

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