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[骶骨隐匿性不全骨折的后果]

[Consequences of occult insufficiency fractures of the sacrum].

作者信息

Briem D, Lehmann W, Grossterlinden L, Begemann P G, Amling M, Rueger J M

机构信息

Zentrum für Operative Medizin,Klinik und Poliklinik für Unfall-, Hand und Wiederherstellungschirurgie, Universitäts-Klinikum Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Deutschland.

出版信息

Unfallchirurg. 2007 Dec;110(12):1068-71. doi: 10.1007/s00113-007-1287-6.

DOI:10.1007/s00113-007-1287-6
PMID:17569025
Abstract

Low back pain disorders of the elderly can potentially be caused by sacral insufficiency fractures due to osteoporosis, radiation necrosis or seldom malignant processes. In our institution an increasing numbers of patients suffering from osteoporotic sacral insufficiency fractures could recently be observed. In a case report study clinical symptoms, diagnostic procedures as well as therapeutic options are discussed.

摘要

老年人的下背痛病症可能由骨质疏松症导致的骶骨不全骨折、放射性坏死或罕见的恶性病变引起。在我们机构,最近观察到越来越多患有骨质疏松性骶骨不全骨折的患者。在一项病例报告研究中,讨论了临床症状、诊断程序以及治疗选择。

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1
[Consequences of occult insufficiency fractures of the sacrum].[骶骨隐匿性不全骨折的后果]
Unfallchirurg. 2007 Dec;110(12):1068-71. doi: 10.1007/s00113-007-1287-6.
2
[Sacral insufficiency, unexpected clinical entity as a cause of low back pain. Report of two cases].[骶骨不全:作为腰痛病因的意外临床实体。两例报告]
Cir Cir. 2012 Nov-Dec;80(6):556-61.
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Lower back pain after recently giving birth: postpartum sacral stress fractures.近期分娩后出现的下背部疼痛:产后骶骨应力性骨折
Skeletal Radiol. 2011 Apr;40(4):461-2, 481-2. doi: 10.1007/s00256-010-1062-6. Epub 2010 Nov 10.
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Insufficiency fractures of the sacrum: a cause of low back pain after lung transplantation.骶骨应力性骨折:肺移植术后腰痛的一个原因。
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Cauda equina syndrome presentation of sacral insufficiency fractures.骶骨不全骨折的马尾综合征表现
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Sacral insufficiency fractures: an easily overlooked cause of back pain in the ED.骶骨骨质疏松性骨折:急诊科容易被忽视的腰痛病因。
Am J Emerg Med. 2011 Mar;29(3):359.e5-6. doi: 10.1016/j.ajem.2010.04.015. Epub 2010 Aug 2.
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Incidence and clinical features of sacral insufficiency fracture in the emergency department.急诊科骶骨应力性骨折的发病率及临床特征
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Sacral insufficiency fractures: an often unsuspected cause of low back pain.骶骨不全骨折:一种常被忽视的腰痛原因。
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Multicenter study to assess the efficacy and safety of sacroplasty in patients with osteoporotic sacral insufficiency fractures or pathologic sacral lesions.多中心研究评估了骨水泥成形术治疗骨质疏松性骶骨不稳定性骨折或病理性骶骨病变患者的疗效和安全性。
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引用本文的文献

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Fragility fractures of the sacrum: how to identify and when to treat surgically?骶骨脆性骨折:如何识别以及何时进行手术治疗?
Eur J Trauma Emerg Surg. 2015 Aug;41(4):349-62. doi: 10.1007/s00068-015-0530-z. Epub 2015 Apr 18.
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[Stabilization of the pelvic ring with photodynamic bone stabilization (IlluminOss™)].[光动力骨稳定术(IlluminOss™)用于骨盆环稳定]
Unfallchirurg. 2015 Mar;118(3):279-82. doi: 10.1007/s00113-015-2743-3.
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Quantitative assessment of bone marrow attenuation values at MDCT: an objective tool for the detection of bone bruise related to occult sacral insufficiency fractures.

本文引用的文献

1
[Percutaneous, 2D-fluoroscopic navigated iliosacral screw placement in the supine position: technique, possibilities, and limits].[仰卧位经皮二维透视引导下骶髂螺钉置入:技术、可行性及局限性]
Unfallchirurg. 2007 May;110(5):393-401. doi: 10.1007/s00113-006-1226-y.
2
[Computer-assisted screw placement into the posterior pelvic ring: assessment of different navigated procedures in a cadaver trial].[计算机辅助螺钉置入骨盆后环:尸体试验中不同导航程序的评估]
Unfallchirurg. 2006 Aug;109(8):640-6. doi: 10.1007/s00113-006-1100-y.
3
[Sacroplasty for the treatment of sacral insufficiency fractures].
MDCT 下骨髓衰减值的定量评估:一种用于检测与隐匿性骶骨应力性骨折相关的骨挫伤的客观工具。
Eur Radiol. 2012 Oct;22(10):2229-36. doi: 10.1007/s00330-012-2472-8. Epub 2012 May 15.
Unfallchirurg. 2006 Aug;109(8):681-6. doi: 10.1007/s00113-006-1102-9.
4
Percutaneous sacroplasty for osteoporotic insufficiency fractures.经皮骶骨成形术治疗骨质疏松性不全骨折
AJR Am J Roentgenol. 2006 Feb;186(2):580; author reply 580-1. doi: 10.2214/AJR.06.5009.
5
Sacral insufficiency fracture.骶骨不全骨折
Br J Radiol. 2004 Oct;77(922):891-6. doi: 10.1259/bjr/81974373.
6
Biomechanical comparison of posterior pelvic ring fixation.骨盆后环固定的生物力学比较
J Orthop Trauma. 2003 Aug;17(7):481-7. doi: 10.1097/00005131-200308000-00002.
7
Spontaneous osteoporotic fractures of the sacrum causing neurological damage. Report of three cases.自发性骶骨骨质疏松性骨折导致神经损伤。三例报告。
J Neurosurg. 2002 Oct;97(3 Suppl):380-5. doi: 10.3171/spi.2002.97.3.0380.
8
Clinical results of percutaneous pelvic surgery. Computer assisted surgery using ultrasound compared to standard fluoroscopy.
Comput Aided Surg. 2001;6(4):204-11. doi: 10.1002/igs.10010.
9
[Navigation assisted by image conversion. An experimental study on pelvic screw fixation].
Unfallchirurg. 2001 Mar;104(3):215-20. doi: 10.1007/s001130050717.
10
The controversy surrounding sacral insufficiency fractures: to ambulate or not to ambulate?围绕骶骨不全骨折的争议:是否行走?
Am J Phys Med Rehabil. 2000 Jul-Aug;79(4):404-9. doi: 10.1097/00002060-200007000-00014.