Three Cases of Sacral Insufficiency Fracture

DOI 10 References Open Access
  • Serikyaku Hisashi
    Department of Orthopedic Surgery, Yonabaru Chuo Hospital, Okinawa, Japan
  • Isa Tomohiro
    Department of Orthopedic Surgery, Yonabaru Chuo Hospital, Okinawa, Japan
  • Oshiro Tomoyuki
    Department of Orthopedic Surgery, Yonabaru Chuo Hospital, Okinawa, Japan
  • Goya Isoya
    Department of Orthopedic Surgery, Yonabaru Chuo Hospital, Okinawa, Japan
  • Kanaya Fuminori
    Department of Orthopedic Surgery, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan

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  • 仙骨脆弱性骨折の3例

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We report three cases with sacral insufficiency fractures complaining of buttock and leg pain. Case 1: A 76-year-old female complaining of lumbosacral pain and left buttock and leg pain visited our hospital. MRI showed old compression fracture of L2,4 but neither stenosis nor lumbar herniation was observed. Because there were high intensity lesions in the sacrum on STIR view, MRI and CT of pelvis were added and fractures of the bilateral sacral alar and left S1 foramen were diagnosed. Case 2: An 80-year-old female presented with lumbosacral pain and bilateral buttock and leg pain. Multiple old compression fractures of the lumbar spine were revealed but neither stenosis nor disc herniation were seen on MRI. Because of knock pain on the sacrum, MRI and CT were taken and fracture of bilateral sacral alar was revealed. Case 3: An 80-year-old female presented with difficuty in moving due to severe pain radiating to the left buttock and leg. Spondylolisthesis of L5 was found but neither stenosis nor disc herniation were seen on MRI. Because of knock pain on the sacrum, MRI and CT were taken and fracture of the bilateral sacral alar was found to be the cause of pain.

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