Weber M, Hasler P, Gerber H
Department of Rheumatology and Rehabilitation, Stadtspital Triemli, Zürich, Switzerland.
Spine (Phila Pa 1976). 1993 Dec;18(16):2507-12. doi: 10.1097/00007632-199312000-00021.
Over the past 10 years, 231 insufficiency fractures of the sacrum have been reported in the literature. These fractures, which are due to osteopenia, form a distinct subgroup of pathologic fractures. In 1.8% (n = 20) of the older-than-55-years female patients (total = 1,015) admitted to the authors' Rheumatology department between 1989 and 1991, a fracture of the sacrum was diagnosed. In all cases the diagnosis was confirmed with computed tomography. Frequency, age, sex, diagnosis, underlying diseases, and associated fractures of the 20 cases of insufficiency fractures of the sacrum are described and compared with those previously reported. Insufficiency sacral fracture as a cause of low-back pain in women older than 55 years of age is concluded to be a clinical entity.
在过去10年里，文献报道了231例骶骨不全骨折。这些因骨质减少导致的骨折，构成了病理性骨折中一个独特的亚组。1989年至1991年间，在作者所在的风湿病科收治的1015例55岁以上女性患者中，有1.8%（n = 20）被诊断为骶骨骨折。所有病例均经计算机断层扫描确诊。描述了这20例骶骨不全骨折的发生频率、年龄、性别、诊断、基础疾病及相关骨折情况，并与先前报道的病例进行了比较。得出结论，55岁以上女性因骶骨不全骨折导致腰痛是一种临床病症。
