ArticleGlobal spine journal2021
Significance of Lumbar MRI in Diagnosis of Sacral Insufficiency Fracture.
Article in Global spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Imaging of pelvic ring fractures in older adults and its clinical implications-a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023Pooled it
- Enhanced fixation in sacral fragility fractures: the role of the transsacral bar in preventing screw loosening.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Are sacral stress fractures in young women truly rare? a retrospective MRI analysis of 1970 patients.Journal of orthopaedic surgery and research · 2026Article
- Recognizing Sacral Insufficiency Fractures Hidden in Plain Sight: An Illustrative Case Report.Cureus · 2026Article
- Preferential sacral fracture sites in fragility fractures of the pelvis type IVb and comparison of internal fixation methods: CT-based morphological mapping and finite element analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Three-Dimensional Navigated Transsacral Screw Fixation After Failed Conservative Treatment in Patients with Sacral Insufficiency Fractures: A Retrospective Observational Study with a Three-Month Follow-Up.Journal of clinical medicine · 2025Article
- Chronic pelvic insufficiency fractures and their treatment.Archives of orthopaedic and trauma surgery · 2024Review
- [Diagnostics and treatment of insufficiency fractures of the pelvis].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- Assessment of the Initial Diagnostic Accuracy of a Fragility Fracture of the Sacrum: A Study of 56 Patients.Asian spine journal · 2023Article
- Diagnostic Value of an Additional Sequence (Large-Field Coronal Stir) in a Routine Lumbar Spine MR Imaging Protocol to Investigate Lumbar Radiculopathy.Journal of clinical medicine · 2023Article
- A comparison of smooth and sharp kernel CT reconstructions in the detection of unilateral sacral fractures.Skeletal radiology · 2023Article
- Teriparatide treatment for postmenopausal women with sacral insufficiency fracture.Osteoporosis and sarcopenia · 2023Article
- The Epidemiology of Spondylodiscitis in Germany: A Descriptive Report of Incidence Rates, Pathogens, In-Hospital Mortality, and Hospital Stays between 2010 and 2020.Journal of clinical medicine · 2023Article
- Increased incidence of vertebral fractures in German adults from 2009 to 2019 and the analysis of secondary diagnoses, treatment, costs, and in-hospital mortality.Scientific reports · 2023Article
- Superiority of MRI for Evaluation of Sacral Insufficiency Fracture.Journal of clinical medicine · 2022Article
- Pelvic fragility fractures-the forgotten osteoporotic fracture!Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021Article
- Modified therapy concepts for fragility fractures of the pelvis after additional MRI.PloS one · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective observational study.
objectiveThe aim of the present study was to evaluate the role of lumbar magnetic resonance imaging (MRI) in the diagnostic algorithm of sacral insufficiency fractures (SIF). The primary objective was to compare the sensitivity in fracture detection and correct fracture classification according to MRI and computed tomography (CT). The secondary objective was to identify differences of additional pathologies found in MRI of the lumbar spine and the pelvis and their rates.
methodsA total of 943 patients (from 2010 to 2017) with fracture of the pelvic ring were screened. All patients without high-energy trauma and radiologic diagnostics consisting of X-ray, CT, and MRI of the pelvis or the lumbar spine including the sacrum were included. Differences in fracture detection and description in the various radiologic procedures were evaluated. Detection rates of additional pathologies in MRI of the pelvis and lumbar spine were recorded.
resultsA total of 77 subjects were included. The sensitivities for SIF were 14% in X-ray and 88% in CT, and all fractures were detected in MRI. MRI showed a more complex fracture pattern compared with CT in 65% of the cases. Additional pathologies were seen in MRI of the lumbar spine (51%) and that of the pelvis (18%).
conclusionsWe suggest performing MRI of the lumbar spine including the sacrum with coronal STIR (short tau inversion recovery) sequence for elderly patients with suddenly increasing low back pain at an early stage. This procedure might improve fracture detection, classification, and recognition of concomitant pathologies.
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