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01-03-2020 | Osteoporosis | Other Pain (AD Kaye and N Vadivelu, Section Editors)

Sacral Insufficiency Fractures: a Review of Risk Factors, Clinical Presentation, and Management

Authors: Ivan Urits, Vwaire Orhurhu, Jessica Callan, Nishita V. Maganty, Sara Pousti, Thomas Simopoulos, Cyrus Yazdi, Rachel J. Kaye, Lauren K. Eng, Alan D. Kaye, Laxmaiah Manchikanti, Omar Viswanath

Published in: Current Pain and Headache Reports | Issue 3/2020

Abstract

Purpose of the Review

Sacral insufficiency fractures (SIF) are a common and often underdiagnosed source of low back pain. In patients with SIF, there is both a compromised sacroiliac joint and weakened sacrum, resulting in decreased resistance to torsional stress, leading to fracture. While conservative medical management is a safe option, minimally invasive intervention may provide improved short and long-term relief of low back pain in patients presenting with SIF. This comprehensive review is undertaken to provide an update to the current understanding of SIF with description of risk factors, clinical presentation, and management.

Recent Findings

Sacroplasty is a minimally invasive procedure in which polymethylmethacrylate (PMMA) cement is inserted into bone to improve its structural integrity and alleviate symptoms. Balloon sacroplasty (BSP) has also been successful in alleviating pain with minimal cement leakage in SIF patients. Various other interventional techniques, including navigation-assisted screw fixation have been used to address SIF and have shown improvement in pain with minimal side effects.

Summary

This review included various modalities of treatments available to manage SIF. This review shows that in comparison with nonsurgical management, sacroplasty has been shown to have greater pain reduction and improved mobility.

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Title: Sacral Insufficiency Fractures: a Review of Risk Factors, Clinical Presentation, and Management
Authors: Ivan Urits
Vwaire Orhurhu
Jessica Callan
Nishita V. Maganty
Sara Pousti
Thomas Simopoulos
Cyrus Yazdi
Rachel J. Kaye
Lauren K. Eng
Alan D. Kaye
Laxmaiah Manchikanti
Omar Viswanath
Publication date: 01-03-2020
Publisher: Springer US
Keywords: Osteoporosis
Osteoporosis
Back Pain
Back Pain
Back Pain
Published in: Current Pain and Headache Reports / Issue 3/2020
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI: https://doi.org/10.1007/s11916-020-0848-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Sacral Insufficiency Fractures: a Review of Risk Factors, Clinical Presentation, and Management

Abstract

Purpose of the Review

Recent Findings

Summary

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose of the Review

Recent Findings

Summary

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