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Related Concept Videos

Spinal Nerves: Plexus II01:21

Spinal Nerves: Plexus II

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The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
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Related Experiment Video

Updated: Mar 30, 2026

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

Charles Xiao Bo Yan1, Line Vautour2, Marie-Hélène Martin3

  • 1Department of Radiology, McGill University Health Centre, Montreal, QC, Canada. charlesyan@gmail.com.

Skeletal Radiology
|November 12, 2015
PubMed
Summary
This summary is machine-generated.

Postpartum sacral insufficiency fractures are rare and often missed, mimicking other conditions. Early recognition and full sacrum imaging are crucial for diagnosis, especially in women with osteoporosis risk factors.

Keywords:
Insufficiency fracturePostpartum low back painPregnancy and lactation related osteoporosisSacrum

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Area of Science:

  • Orthopedics
  • Radiology
  • Women's Health

Background:

  • Postpartum sacral insufficiency fractures are uncommon and frequently misdiagnosed.
  • Symptoms like low back, buttock, and groin pain are often attributed to pregnancy-related changes or disc disease.

Observation:

  • A case of bilateral sacral insufficiency fractures in a 37-year-old postpartum woman is presented.
  • The patient had osteopenic bone mineral density confirmed by dual-energy X-ray absorptiometry.
  • Fractures were incidentally found on lumbar spine MRI, initially suspected as discogenic.

Findings:

  • Sacral insufficiency fractures can be under-diagnosed in postpartum women.
  • Incidental findings on MRI can reveal these fractures.
  • Full sacrum imaging is recommended for postpartum patients with risk factors for osteoporosis.

Implications:

  • Clinicians should consider sacral insufficiency fractures in postpartum patients with relevant symptoms.
  • Further evaluation for bone mineral density and metabolic bone disease is recommended upon diagnosis.
  • Prompt diagnosis and management can prevent complications and improve patient outcomes.