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Related Experiment Video

Updated: May 8, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Published on: November 8, 2024

[Sacral insufficiency fractures].

Mária Ferenc1, Mária Puhl, Péter Pál Varga

  • 1Országos Gerincgyógyászati Központ, Budapest. maria.ferenc@bhc.hu

Ideggyogyaszati Szemle
|August 27, 2013
PubMed
Summary

Sacral insufficiency fractures (SIF) are osteoporotic fractures in the elderly. Diagnostic mapping techniques improve SIF recognition, aiding in avoiding unnecessary tests and shortening the diagnostic procedure.

Area of Science:

  • Orthopedics
  • Radiology
  • Geriatrics

Background:

  • Sacral insufficiency fractures (SIF) were first described in 1982 as an unrecognized syndrome in the elderly.
  • While documented globally, SIF cases have not been previously reported in Hungary.

Purpose of the Study:

  • To outline key diagnostic steps for recognizing SIF.
  • To review current therapeutic guidelines for SIF management.

Main Methods:

  • Analysis of 11 SIF cases diagnosed between January 2009 and June 2010.
  • Examination of clinical presentations, radiological findings, fracture patterns, and recovery.
  • Utilized mapping techniques for diagnosis in challenging cases.

Main Results:

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  • Identified diverse etiological factors and various fracture patterns (H-type, unilateral, horizontal, vertical, bilateral).
  • Mapping techniques proved effective for diagnosis, especially when clinical symptoms were subtle or conventional radiology lacked sensitivity/specificity.

    • Conclusions:

    • Considering patient history and risk factors can streamline SIF diagnosis.
    • Accurate diagnosis can help avoid unnecessary procedures like biopsies.