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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.
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Updated: Sep 4, 2025

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.

Mariel M Rickert¹, Rachel A Windmueller, Carlos A Ortega

¹Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.

|July 18, 2022

Summary

This summary is machine-generated.

Sacral insufficiency fractures (SIFs) often result from osteoporosis and present with insidious pain. Prompt diagnosis and a multidisciplinary approach are crucial for effective treatment and preventing future fractures.

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Intraoperative Ultrasound in Spinal Surgery

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Published on: August 17, 2022

Area of Science:

Orthopedics
Radiology
Geriatrics

Background:

Sacral insufficiency fractures (SIFs) are commonly caused by primary osteoporosis.
SIFs often present insidiously with lower back or buttock pain, leading to diagnostic delays.
High-risk populations include postmenopausal women over 55 and individuals with osteoporosis or prior fragility fractures.

Purpose of the Study:

To review the etiology, presentation, risk factors, imaging characteristics, and treatment options for sacral insufficiency fractures.

Main Methods:

Review of literature on sacral insufficiency fractures.
Analysis of diagnostic imaging modalities including CT and MRI.
Summary of current treatment strategies based on fracture severity.

Main Results:

CT imaging reveals sacral ala sclerosis; MRI is more sensitive, showing specific signal intensities.
Treatment varies from nonoperative management to surgical fixation, depending on fracture severity and pelvic instability.

Conclusions:

A multidisciplinary approach is essential for managing SIFs and their underlying causes.
Early recognition and appropriate treatment are key to improving outcomes and preventing recurrent fractures.