Review
Clinical Neurology
Eran Beit Ner, Oded Rabau, Saad Dosani, Uri Hazan, Yoram Anekstein, Yossi Smorgick
Summary: Purpose Fatigue stress fractures are a common overuse injury, frequently associated with high load-bearing endurance activities such as running, military training and aerobic exercise, with sacral stress fractures being poorly studied. The literature review revealed a high percentage of sacral stress fractures in professional or collegiate level athletes, with some female athletes having low bone mineral density and history of eating disorders. Conservative treatment is the mainstay of treatment.
EUROPEAN SPINE JOURNAL
(2022)
Article
Biotechnology & Applied Microbiology
Meike Gierig, Fangrui Liu, Lukas Weiser, Wolfgang Lehmann, Peter Wriggers, Michele Marino, Dominik Saul
Summary: The study demonstrates that a combination of spinopelvic stabilization and cross connector in Denis zone I sacrum fractures can significantly reduce the pressure in the fracture area under various loading conditions, providing significant biomechanical advantages.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2021)
Article
Medicine, General & Internal
Xiao-dong Hao, Yuan-zhi Zhang, Shao-bai Wang, Gang Liu
Summary: This study aimed to evaluate the effect of percutaneous sacroiliac joint screw placement using unobstructed orthopaedic surgery robots on longitudinal sacrum fractures. The results showed significant differences in screw placement angle deviation, guide needle deviation, intra-operative fluoroscopy time, and insertion time of each sacroiliac joint screw between the robot group and the freehand group, indicating better treatment outcomes in the robot group.
FRONTIERS IN MEDICINE
(2023)
Article
Orthopedics
Haotian Qi, Xin Geng, Xiaokun Yu, Wenhuan Chen, Jian Jia, Wei Tian
Summary: A retrospective study of 60 patients with unilateral unstable sacral fractures treated with posterior INFIX showed that the INFIX group had more intraoperative bleeding but shorter operation and fluoroscopy times, with higher safety and similar clinical outcomes compared to the iliosacral screw fixation group.
ORTHOPAEDIC SURGERY
(2022)
Article
Orthopedics
Wei Tian, Feng-Shuang Jia, Jia-Ming Zheng, Jian Jia
Summary: This study evaluated the clinical outcomes of unstable sacral fractures treated with RoboTFX. The results showed that compared to traditional open methods, RoboTFX has the advantages of shorter operation time, less intraoperative bleeding and fluoroscopy, more accurate fixation insertion, and a higher healing rate.
ORTHOPAEDIC SURGERY
(2023)
Review
Orthopedics
Lauren A. Barber, Yoshihiro Katsuura, Sheeraz Qureshi
Summary: Sacral fractures, which can occur in patients of all ages, range from high-energy injuries with a mortality rate of up to 18% to low-energy insufficiency fractures. The complex geometry of the sacrum, various morphotypes, and the presence of congenital anomalies can complicate the treatment of these fractures. There is limited consensus on the surgical indications for these injuries. This narrative review aims to provide orthopedic surgeons with updated knowledge on the clinical evaluation, non-surgical management, and surgical management of sacral fractures.
Article
Orthopedics
Thibault Willaume, Louis Delmas, Ludivine Tochon, Guillaume Bierry
Summary: The objective of this study was to determine whether smooth kernel reconstructions are more sensitive than sharp kernel ones for the detection of sacral stress fractures using MRI as the reference standard. A retrospective study was conducted on 100 patients, and it was found that the use of smooth kernel reconstructions improved the sensitivity of CT for the detection of sacral stress fractures compared to the sharp kernel reconstructions.
SKELETAL RADIOLOGY
(2023)
Article
Biotechnology & Applied Microbiology
Zisheng Xu, Yifei Jiang, Weidong Mu, Wenlong Li, Guanjun Zhang, Shichao Jiang, Peng Xu
Summary: This study aimed to investigate the mechanism of sacral nerve injury caused by sacral fractures and the relationship between nerve decompression and nerve function. Through anatomical study, biomechanical testing, and finite element analysis, it was found that neurological loss was positively correlated with the degree of compression, and nerve function could not recover in the severe compression group.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2022)
Editorial Material
Radiology, Nuclear Medicine & Medical Imaging
Nuh Filizoglu, Onur Bugdayci, Salih Ozguven
Summary: This case study highlights the importance of recognizing potential false-positive results in Ga-68-DOTATATE PET/CT imaging, as seen in a 47-year-old male patient diagnosed with a neuroendocrine tumor of the pancreas but was later found to have a sacral insufficiency fracture.
CLINICAL NUCLEAR MEDICINE
(2021)
Article
Orthopedics
Brian H. Mullis, Julie Agel, Clifford Jones, Jason Lowe, Heather Vallier, David Teague, Laurence Kempton, Andrew Schmidt, Darin Friess, Saam Morshed, Anna N. Miller, Ross Leighton, Paul Tornetta
Summary: This study observed the functional outcomes of unilateral sacral fractures and found that all groups reported the worst function at 3 months after injury, but gradually recovered within 2 years. No functional benefit was observed with operative intervention for either displaced or nondisplaced fractures.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Orthopedics
Yulin Zhao, Baisheng Yuan, Yijun Han, Binglei Zhang
Summary: The study aimed to explore the feasibility of placing S2-alar screws by measuring the screw trajectory on CT scans. Significant differences were found in the minimum diameter of the screw trajectory between males and females, as well as differences in the coronal angle between the left and right sides in females. However, there were no statistically significant differences between males and females in other parameters.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Amira Al Raaisi, Kevin Premat, Evelyne Cormier, Eimad Shotar, Mehdi Drir, Veronique Morel, Jean-Philippe Spano, Hugues Pascal-Mousselard, Laetitia Morardet, Frederic Clarencon, Jacques Chiras
Summary: The study evaluated the effectiveness of reinforced cementoplasty (RC) in providing pain relief and functional recovery for painful and unstable lesions involving the pelvic bone. Results showed significant pain relief and functional improvement with RC in this patient population.
EUROPEAN RADIOLOGY
(2022)
Article
Orthopedics
Eslam A. Elsherif, Morad O. Mokhtar
Summary: This study compared the effectiveness of direct and indirect decompression surgery for treating lumbosacral plexus injury associated with sacral fractures and found that indirect decompression had similar neurological recovery and functional outcomes compared to direct decompression. Restoring lumbosacropelvic stability and anatomical reduction seem to be more crucial for better functional outcomes and neurological recovery than direct decompression.
CLINICS IN ORTHOPEDIC SURGERY
(2023)
Article
Oncology
Walter Banfield, Myrsini Ioakeim-Ioannidou, Saveli Goldberg, Soha Ahmed, Joseph H. Schwab, Gregory M. Cote, Edwin Choy, John H. Shin, Francis J. Hornicek, Norbert J. Liebsch, Yen -Lin E. Chen, Shannon M. MacDonald, Thomas F. DeLaney
Summary: This study retrospectively reviewed the outcomes of high-dose proton-based definitive radiotherapy for newly diagnosed, unresected spinal and sacral chordomas. The results showed that high-dose definitive radiotherapy is an effective treatment option for medically inoperable or otherwise unresected mobile spine or sacrococcygeal chordomas.
RADIOTHERAPY AND ONCOLOGY
(2022)
Article
Clinical Neurology
Horst Balling
Summary: Nondisplaced and minimally displaced sacral insufficiency fractures are increasingly recognized as a cause of immobilizing low back pain in the elderly. Diagnosis is best done through visualizing sacral bone marrow edema on MRI. Treatment options vary from nonsurgical to surgical, with a focus on establishing stability for successful remobilization in elderly patients. Iliosacral screw osteosynthesis is a common technique for stabilizing the posterior pelvic ring. The surgical technique of 3D image-guided transsacral screw fixation for sacral insufficiency fractures in the elderly is described in this article.
CLINICAL SPINE SURGERY
(2021)