Cotty P, Fouquet B, Mezenge C, De Toffol B, Beaulieu F, Valat J P, Laffont J
J Neuroradiol. 1989;16(2):160-71.
We report ten cases of insufficiency fracture of the sacrum, a recently individualized pathological entity. These fractures occur in elderly women with pronounced osteopenia of the pelvis. The clinical symptoms are low back pain and sometimes mechanical radiculalgia. Histories of previous injury are rare. In 50 per cent of the cases X-ray films of the pelvis show fractures of the anterior pelvic arch (iliopubic and ischiopubic rami). Computerized tomography or radionuclide bone scanning provide an almost certain diagnosis of sacral insufficiency fracture. This diagnosis is confirmed by a favorable clinical outcome after 2 months.
我们报告了10例骶骨不全骨折，这是一种最近才被个体化的病理实体。这些骨折发生在骨盆有明显骨质减少的老年女性中。临床症状为腰痛，有时伴有机械性神经根痛。既往受伤史罕见。50%的病例中，骨盆X线片显示骨盆前弓（髂耻和坐耻支）骨折。计算机断层扫描或放射性核素骨扫描几乎可以确诊骶骨不全骨折。2个月后良好的临床结果证实了这一诊断。
