J Korean Neurosurg Soc.  2008 Sep;44(3):166-169. 10.3340/jkns.2008.44.3.166.

Sacral Insufficiency Fracture, Usually Overlooked Cause of Lumbosacral Pain

Affiliations
  • 1Department of Neurosurgery, Our Lady of Mercy Hospital, The Catholic University of Korea College of Medicine, Incheon, Korea. kjtns@olmh.cuk.ac.kr

Abstract

Sacral insufficiency fractures are usually known to develop in elderly patients with osteoporosis without definite trauma history. It is difficult to diagnose the sacral insufficiency fracture at an early stage because lower lumbar diseases, concurrently or not, may also be presented with similar symptoms and signs. We report a rare case of sacral insufficiency fracture who was not diagnosed initially but, instead, showed progressively worsening of clinical symptoms and radiological findings after decompression surgery for upper level lumbar stenosis.

Keyword

Sacrum; Insufficiency fracture

MeSH Terms

Aged
Constriction, Pathologic
Decompression
Fractures, Stress
Humans
Osteoporosis
Sacrum
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