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Related Concept Videos

Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...

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Updated: Jul 8, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Sacral insufficiency fractures.

O S Schindler1, R Watura, M Cobby

  • 1Droitwich Knee Clinic and Birmingham Arthritis and Sports Injury Clinic, Worcestershire, United Kingdom. schindler@doctors.net.uk

Journal of Orthopaedic Surgery (Hong Kong)
|December 29, 2007
PubMed
Summary
This summary is machine-generated.

Sacral insufficiency fractures in elderly women often present diagnostic challenges. Computed tomography is the most reliable imaging, though recovery can be lengthy, impacting mobility.

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Area of Science:

  • Geriatric Medicine
  • Radiology
  • Orthopedics

Background:

  • Sacral insufficiency fractures are increasingly prevalent in the elderly population.
  • Osteoporosis, both primary and secondary, is a significant contributing factor.
  • These fractures can present with diverse symptoms, mimicking other neurological conditions.

Purpose of the Study:

  • To evaluate diagnostic challenges associated with sacral insufficiency fractures.
  • To assess the effectiveness of various imaging modalities in diagnosing these fractures.
  • To analyze treatment outcomes and recovery patterns in affected patients.

Main Methods:

  • Retrospective review of 25 female patients (aged 68-95) diagnosed with sacral insufficiency fractures.
  • Analysis of clinical data, blood biochemistry, and hematology.
  • Utilization of pelvic radiography, computed tomography (CT), technetium bone scanning, and magnetic resonance imaging (MRI).

Main Results:

  • A mean diagnostic delay of 9 days was observed.
  • Computed tomography demonstrated the highest reliability for diagnosis.
  • Technetium bone scans were sensitive but non-specific, and MRI findings could be mistaken for metastatic disease.
  • Bilateral fractures had significantly longer recovery times and poorer mobility outcomes compared to unilateral fractures.

Conclusions:

  • Sacral insufficiency fractures pose diagnostic difficulties, particularly in the elderly.
  • Early diagnosis is crucial, with CT being the preferred imaging technique.
  • While treatment is often straightforward, recovery can be prolonged, leading to persistent mobility limitations.