Medizinische Universität Graz - Research portal
Selected Publication:
Hatzl-Griesenhofer, M; Pichler, R; Huber, H; Maschek, W.
The insufficiency fracture of the sacrum. An often unrecognized cause of low back pain: results of bone scanning in a major hospital.
Nuklearmedizin. 2001; 40(6):221-227
Doi: 10.1055/s-0038-1625285
Web of Science
PubMed
FullText
FullText_MUG
- Co-authors Med Uni Graz
- Pichler Robert
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- Aim: The insufficiency fracture of the sacrum is often radiographically occult. Bone scintigraphy is a method of reference for the diagnosis; the results have been analysed retrospectively. Methods: Bone scintigraphy was done on patients who, predominantly after minor trauma, suffered from lower back pain and whose radiographic findings were negative. Results: During a 24 month period, a sacral insufficiency fracture was diagnosed in 102 patients. H-shaped hyperfixation of the tracer - described as typical - was present in only 19.6% of the cases. Tracer accumulation was found as follows: located uni/bilateral in the sacral wings (32.4 %/6.9%), horizontal (27.4%) and half H-shaped (13.7%). In 85% of the cases there were further fractures with main localisations in the pubic bone, in the spine and the ribs. Conclusion: The insufficiency fracture of the sacrum as cause of lower back pain is not uncommon, especially in postmenopausal women with risk factors. Bone scintigraphy is not only an adequate procedure for the detection of often radiographically occult sacral fractures, but also an easy method to reveal the often concomitand fractures.
- Find related publications in this database (using NLM MeSH Indexing)
- Fractures, Stress - complications Fractures, Stress - radiography Fractures, Stress - radionuclide imaging Fractures, Stress - therapy
- Humans -
- Low Back Pain - etiology
- Radiography - instrumentation Radiography - methods
- Retrospective Studies -
- Sacrum - injuries
- Spinal Fractures - complications Spinal Fractures - radiography Spinal Fractures - radionuclide imaging Spinal Fractures - therapy
- Spine - radiography Spine - radionuclide imaging
- Tissue Distribution -
- Find related publications in this database (Keywords)
- bone scintigraphy
- spontaneous fracture
- occult fracture
- insufficiency fracture
- osteoporosis
- sacrum