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Analysis of Fracture Patterns and Characteristics in Sacral Insufficiency Fracture: Do Sacral Fractures Occur in Patients Who Had Previous Lumbosacral Fusion Insufficiency Fractures or Stress Fractures?

Seo JY, Ha KY, Kim YH, Park HY, Chang DG, Choi YH, Rho YH, Kim SI

Study Design: This study is a retrospective analysis of a case. Purpose: The purpose of this study is to investigate the fracture patterns and risk factors of sacral insufficiency fractures (SIFs)...
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Utilization of S1 Foraminal Hooks for Augmentation of S1 Screws in Adult Spinal Deformity Surgery: Comparative Study With Iliac Screws

Choi HY, Jo DJ

Objective: To compare the outcomes of S1 foraminal hooks and iliac screws regarding fusion rate at the lumbosacral junction and protective effects on S1 screws. Methods: From January 2017 to December...
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Clinical and Radiologic Characteristics of Caudal Regression Syndrome in a 3-Year-Old Boy: Lessons from Overlooked Plain Radiographs

Kang S, Park H, Hong J

Caudal regression syndrome (CRS) is a rare neural tube defect that affects the terminal spinal segment, manifesting as neurological deficits and structural anomalies in the lower body. We report a...
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Comparison of Multifidus Muscle Activity and Pelvic Tilting Angle During Typing in Nonspecific Lower Back Pain Subjects with and without Visual Biofeedback

Jeon IC

Purpose: Biofeedback using various ways has helped correct the sitting posture. This study compared the multifidus muscle activity, pelvic and 2nd sacrum tilting angle during typing in nonspecific lower back...
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Determination of Any Correlation between Sagittal Spinopelvic Configuration and Progressive Collapse of Acute Osteoporotic Compression Spine Fractures: A Retrospective Radiological Analysis

Smorgick Y, Geftler A, Goldstein S, Mirovsky Y, Blecher R, Anekstein Y

Study Design: A retrospective cohort study. Purpose: The aim of this study was to determine any correlations between spinopelvic configuration and progressive collapse following acute osteoporotic compression spine fractures. Overview of Literature:...
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Percutaneous Sacroplasty : Effectiveness and Long-Term Outcome Predictors

Lee J, Lee E, Lee JW, Kang Y, Ahn JM, Kang HS

Objective : To evaluate the effectiveness and long-term outcome predictors of percutaneous sacroplasty (PSP). Methods : This single-center study assessed 40 patients with sacral insufficiency fractures using the short-axis technique under...
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Etiopathogenesis of sacroiliitis: implications for assessment and management

Baronio M, Sadia H, Paolacci S, Prestamburgo D, Miotti D, Guardamagna VA, Natalini G, Bertelli M

The sacroiliac joints connect the base of the sacrum to the ilium. When inflamed, they are suspected to cause low back pain. Inflammation of the sacroiliac joints is called sacroiliitis....
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A Very Low-Positioned Aortic Bifurcation

Degheili JA, Malhas H, Yoo TK, Dergham MYR

Anomalies of the aortoiliac arteries are rarely reported and are generally discovered incidentally on imaging performed mostly for investigation of other medical concerns. While aortic bifurcation is typically reported at...
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Dual Plate Fixation for Displaced Transverse Fracture of the Lower Sacrum

Choi DH, Park JH, Shim SW, Choi YS

Isolated fractures of lower sacrum are commonly treated conservatively in most cases because of low energy damage and stable fracture. However, surgical treatment is required in displaced unstable fracture. But...
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Is Sacral Extension a Risk Factor for Early Proximal Junctional Kyphosis in Adult Spinal Deformity Surgery?

Decker S, Lafage R, Krettek C, Hart R, Ames C, Smith JS, Burton D, Klineberg , Bess S, Schwab FJ, Lafage V, International Spine Study Group

Study Design: Retrospective cohort study. Purpose: To investigate the role of sacral extension (SE) for the development of proximal junctional kyphosis (PJK) in adult spinal deformity (ASD) surgery. Overview of Literature: The...
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Osteoid Osteoma of the Sacrum: A Case Report

Lim CR, Ryu JH, Hwang ZO, Kim KW

STUDY DESIGN: Case report. OBJECTIVES: To report a case of osteoid osteoma arising in the sacrum in a 29-year-old male patient. SUMMARY OF LITERATURE REVIEW: Osteoid osteoma is a benign osteoblastic tumor...
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Schmorl's Nodes and Partial Lumbarization of S1 in European Human Remains of Korean War Casualty Excavated from the Arrowhead Ridge in DMZ

Jang YR, Kim MJ

The Ministry of National Defense of Agency for KIA Recovery and Identification (MAKRI) launched the Korean War casualty excavation project to retrieve war remains at the Arrowhead Ridge in the...
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Percutaneous Iliosacral Screw Fixation with Cement Augmentation in Osteoporotic Sacral Fracture

Kim CH, Chung YY, Shim SW, Baek SN, Kim CY

PURPOSE: The prevalence of osteoporotic sacral fractures is increasing. Traditionally, conservative treatment is the 1st option, but it can increase the risk of comorbidity in the elderly. To reduce the...
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Biomechanical Study of Posterior Pelvic Fixations in Vertically Unstable Sacral Fractures: An Alternative to Triangular Osteosynthesis

Chaiyamongkol W, Kritsaneephaiboon A, Bintachitt P, Suwannaphisit S, Tangtrakulwanich B

STUDY DESIGN: Biomechanical study. PURPOSE: To investigate the relative stiffness of a new posterior pelvic fixation for unstable vertical fractures of the sacrum. OVERVIEW OF LITERATURE: The reported operative fixation techniques for...
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Sacral Stress Fracture Developing after Lumbosacral Fusion in a Patient with Spondylolisthesis: A Case Report

Shin YE, Jung JU, Yoon SH

STUDY DESIGN: Case report OBJECTIVES: To report a case of sacral stress fracture that developed after lumbosacral fusion. SUMMARY OF LITERATURE REVIEW: Sacral stress fractures rarely develop after lumbosacral fusion, and osteoporosis,...
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Sacral Insufficiency Fractures: How to Classify?

Bakker G, Hattingen , Stuetzer H, Isenberg J

OBJECTIVE: The diagnosis of insufficiency fractures of the sacrum in an elder population increases annually. Fractures show very different morphology. We aimed to classify sacral insufficiency fractures according to the...
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The Relationship between Sacral Kyphosis and Pelvic Incidence

McKay G, Torrie PA, Dempster G, Bertram W, Harding I

STUDY DESIGN: Retrospective cohort study. PURPOSE: Evaluate the fixed anatomical parameter of sacral kyphosis (SK) and its relationship with pelvic incidence (PI). OVERVIEW OF LITERATURE: Pelvic parameters determine pelvic and lumbar spinal...
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Primary Presacral Neuroendocrine Tumor: A Case Report and Review of MRI Findings

Kim JM, Lee NK, Kim S, Ahn SJ, Suh DS, Han GJ, Lee JW

Primary presacral neuroendocrine tumor (NET) is extremely rare. Furthermore, its preoperative diagnosis is very difficult, and its imaging characteristics are not well described. We report the case of a 70-year-old...
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Sacral Reconstruction with a 3D-Printed Implant after Hemisacrectomy in a Patient with Sacral Osteosarcoma: 1-Year Follow-Up Result

Kim D, Lim JY, Shim KW, Han JW, Yi S, Yoon DH, Kim KN, Ha Y, Ji GY, Shin DA

Pelvic reconstruction after sacral resection is challenging in terms of anatomical complexity, excessive loadbearing, and wide defects. Nevertheless, the technological development of 3D-printed implants enables us to overcome these difficulties....
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Association between Sacral Slanting and Adjacent Structures in Patients with Adolescent Idiopathic Scoliosis

Cho JH, Lee CS, Joo YS, Park J, Hwang CJ, Lee DH

BACKGROUND: Sacral slanting is a frequent unique phenomenon in patients with adolescent idiopathic scoliosis (AIS) and may be important for selecting the distal fusion level. However, the reason of the...
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