Bustamante-Vidales Jesús Carlos, Kleriga-Grossgere Enrique, Zambito-Brondo Gerardo Francisco, Higuera-Calleja Jesús
Departamento de Cirugía Neurológica, Instituto Mexicano de Neurociencias, México.
Cir Cir. 2012 Nov-Dec;80(6):556-61.
sacral insufficiency fractures are a cause of debilitating pain in the elderly. These fractures were first described as a clinical entity in 1982. The bone in these patients is structurally weakened and often associated with diseases such as osteoporosis, cancer and immunological processes. This translates into back and pelvic pain unrelated to trauma. These fractures are usually caused by fatigue in most cases. Bone scans and MRI are the imaging studies with the most sensitivity for detecting sacral insufficiency.
two patients with sacral insufficiency fractures who were studied by MRI and bone scan, in whom the diagnosis of sacral insufficiency was made, were treated by sacroplasty.
sacral insufficiency is an underdiagnosed disease, caused by wide range of diseases, mainly osteoporosis. The studies of choice for diagnosis are MRI and bone scans. Techniques, such as percutaneous sacroplasty, produce significant improvements in pain scores and seem a suitable alternative for managing this disease.
骶骨不全骨折是老年人疼痛衰弱的一个原因。这些骨折于1982年首次被描述为一种临床实体。这些患者的骨骼结构弱化，常与骨质疏松症、癌症和免疫过程等疾病相关。这表现为与创伤无关的背部和骨盆疼痛。在大多数情况下，这些骨折通常由疲劳引起。骨扫描和磁共振成像（MRI）是检测骶骨不全最敏感的影像学检查。
两名经MRI和骨扫描研究诊断为骶骨不全骨折的患者接受了骶骨成形术治疗。
骶骨不全是一种诊断不足的疾病，由多种疾病引起，主要是骨质疏松症。诊断的首选检查是MRI和骨扫描。诸如经皮骶骨成形术等技术可显著改善疼痛评分，似乎是治疗这种疾病的合适选择。
