Sacral Ala Insufficiency Fracture Therapy
.An unsuspected cause of low back pain in elderly women. Central fractures involving the sacral corpus (c;
Sacral insufficiency fractures (sifs) are a subtype of stress fractures, resulting from normal stress applied to a bone with reduced elasticity. Mri of occult sacral insufficiency fractures following radiotherapy. Other sacral variant uptake patterns occur frequently and include the unilateral ala, incomplete h, and horizontal linear dot patterns.
Sacral insufficiency fractures usually are parallel to the spine.
Central fractures involving the sacral corpus (c; Central fractures involving the sacral corpus (c; The sacrum is divided into zone 1 (sacral ala and bone between the sacroiliac joints and the neural foramina; Zone i fractures are limited to the sacral ala, the most lateral portion of the sacrum. Fracture limited to the corpus or finishing into one ala (c1; An unsuspected cause of low back pain in elderly women. Patient often lacks a definitive history of trauma. When sifs are suspected, mr. The new classification allowes the differentiation of fractures of less mechanical importance and a risk assessment for possible polymethyl methacrylate leaks during. At times there is also a transverse fracture that connects insufficiency fractures when they occur on both sides of the sacrum. 1.8% of women over the age of 55 years who presented to the hospital with. Central fractures involving the sacral corpus (c; Axial ct image shows diffuse osteopenia, bilateral sacral alar fractures (arrowheads) and patchy scleroses in the sacral ala in an elderly women presenting with low back and pelvic pain without trauma. The characteristic appearance is that of fracture lines running vertically through both the left and right sacral ala, medial to the si joints, and a transverse fracture just below the level of the si. We aimed to classify sacral insufficiency fractures according to the position of cortical break and possible need for intervention. Stress fractures occur in the presence of repetitive forces over time the sacrum, located in the caudal portion of the spine, is composed of a body and two sacral ala. They are most often in the ala, just beside the sacroiliac joint.