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1 results

  • Chapter 17 - Sacral Insufficiency Fractures

  • from Part IV - Spine
  • Edited by Omar Viswanath, Creighton University, Omaha, Ivan Urits, Southcoast Brain & Spine Center, Wareham
  • Book:
    Cambridge Handbook of Pain Medicine
    Published online:
    01 December 2023
    Print publication:
    14 December 2023, pp 119-130

  • Summary

    Sacral insufficiency fracture (SIF) is not uncommon, especially in the elderly, and is associated with a significant decrease in quality of life. SIF is most frequently found in patients with sacroiliac joint pathology in the setting of a sacrum compromised due to conditions such as osteoporosis, rheumatoid arthritis, or radiation therapy. Nonspecific symptoms of SIF make diagnosis challenging. MRI is the gold standard for diagnosis of SIF. Traditional therapies revolved around conservative measures such as bed rest, physical therapy, and analgesia. Conservative management is safe; minimally invasive treatments such as sacroplasty may provide improved short- and long-term relief. Surgical management with screw fixation is a viable option for qualifying patients and can be offered in conjunction with cement augmentation.