Sacral Insufficiency Fractures Mimicking Lumbar Spine Pathol
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Sacral insufficiency fractures (SIFs) are a common cause of back pain in the elderly. SIFs mimic the symptoms of lumbar spine pathology and so are commonly missed or underdiagnosed. This article presents four cases of missed SIFs that were subsequently identified and treated. One patient was treated as mechanical lower backache, another patient underwent root block and two patients underwent surgery for lumbar canal stenosis. None experienced relief of their symptoms after these procedures.

Retrospective analysis of X-ray and magnetic resonance imaging data revealed SIFs that were confirmed by computed tomography scans. All four patients were treated for underlying osteoporosis. Two patients who underwent surgery were treated conservatively and other two were treated by sacroplasty involving the injection of cement into the fracture. Sacroplasty produced immediate pain relief and early mobilization compared to the conservative group.

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