ArticleJournal of Korean Neurosurgical Society2018
Sacral Insufficiency Fractures : How to Classify?
Article in Journal of Korean Neurosurgical Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 20 citations in OpenAlex.
- The crest-pillar-column method for percutaneous fixation of the posterior column using a curved intramedullary device: surgical technique.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Sacroplasty for Sacral Insufficiency Fractures: Narrative Literature Review on Patient Selection, Technical Approaches, and Outcomes.Journal of clinical medicine · 2024Review
- Causes of Increased Use of Closed Reduction and Internal Fixation for High-Energy-Related Traumatic Sacral Fractures.World journal of surgery · 2023Article
- Fragility Fractures of the Pelvis and Sacrum: Current Trends in Literature.Hip & pelvis · 2022Review
- Acute Neurological Deficit Due to Sacral Insufficiency Fracture With Coexistent Severe Lumbar Canal Stenosis: A Case Report.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2022Article
- 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?Asian spine journal · 2021Article
- [Reliability of the FFP classification in pelvic fractures].Der Unfallchirurg · 2021Article
- Sacral fractures: issues, challenges, solutions.EFORT open reviews · 2020Review
- Successful treatment for bilateral femoral neck insufficiency fractures: a rare lesion case report and an updated review of the literature.BMC musculoskeletal disorders · 2020Review
- Article
- Clinical Presentation and Outcomes of Sacral Stress Fractures in Athletes: A Case Series of 13 Patients.Sports healthArticle
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe 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 position of cortical break and possible need for intervention.
methodsBetween January 1, 2008 and December 31, 2014, all patients with a proven fracture of the sacrum following a low-energy or an even unnoticed trauma were prospectively registered : 117 females and 13 males. All patients had a computer tomography of the pelvic ring, two patients had a magnetic resonance imaging additionally : localization and involvement of the fracture lines into the sacroiliac joint, neural foramina or the spinal canal were identified.
resultsPatients were aged between 46 and 98 years (mean, 79.8 years). Seventy-seven patients had an unilateral fracture of the sacral ala, 41 bilateral ala fractures and 12 patients showed a fracture of the sacral corpus : a total of 171 fractures were analyzed. The first group A included fractures of the sacral ala which were assessed to have no or less mechanical importance (n=53) : fractures with no cortical disruption (
conclusionThe new classification allowes the differentiation of fractures of less mechanical importance and a risk assessment for possible polymethyl methacrylate leaks during sacroplasty in the direction of the neurological structures. In addition, identification of instable fractures in need for laminectomy and surgical stabilization is possible.
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