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>Journals >Cirugía y Cirujanos >Year 2012, Issue 6


Bustamante-Vidales JC, Kleriga-Grossgere E, Zambito-Brondo GF, Higuera-Calleja J
Sacral insufficiency, unexpected clinical entity as a cause of low back pain. Report of two cases
Cir Cir 2012; 80 (6)

Language: Español
References: 30
Page: 556-561
PDF: 242.53 Kb.


Full text




ABSTRACT

Background: sacral insufficiency fractures are a cause of debilitating pain in the elderly. First described these fractures as a clinical entity in 1982. The bone in these patients is structurally weakened and often associated with diseases such as osteoporosis, cancer and immunological processes. This translates into back and pelvic pain unrelated to trauma. These fractures are usually caused by fatigue in most cases. Bone scans and MRI are the imaging studies with the most sensitivity for detecting sacral insufficiency.
Clinical cases: two patients with sacral insufficiency fractures who were studied by MRI and bone scan, in whom the diagnosis of sacral insufficiency was made, were treated by sacroplasty.
Conclusions: the sacral insufficiency is a disease under diagnosed, caused by wide range of diseases, mainly osteoporosis. The studies of choice for diagnosis are MRI and bone scans. The techniques such as percutaneous sacroplasty produce significant improvements in pain scores and seem a suitable alternative to management of this disease.


Key words: sacral insufficiency, sacroplasty.


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