Postpartum sacral fracture presenting as lumbar radiculopathy: A case report

Archives of Physical Medicine and Rehabilitation

Volumn 85, Issue 8, 2004, Pages 1358-1361

  Lin, Julie T ^a,b,c   Lutz, Gregory E ^a,b  

^a Hospital for Special Surgery   (United States)

^b WEILL CORNELL MEDICAL COLLEGE   (United States)

^c HOSPITAL FOR SPECIAL SURGERY   (United States)

Author keywords

Case report; Fractures; Osteoporosis; Pregnancy; Radiculopathy; Rehabilitation; Sacrum

Indexed keywords

ADULT; ANAMNESIS; ATHLETE; CASE REPORT; CLINICAL FEATURE; DIAGNOSTIC PROCEDURE; FEMALE; HUMAN; LOW BACK PAIN; LUMBAR RADICULOPATHY; LUMBAR SPINAL CORD; NUCLEAR MAGNETIC RESONANCE IMAGING; OSTEOPOROSIS; PHYSICAL EXAMINATION; PRACTICE GUIDELINE; PREGNANCY; PUERPERIUM; RADICULAR PAIN; RADICULOPATHY; RECREATION; SACRUM; SHORT SURVEY; SPINAL NERVE; STRESS FRACTURE; VERTEBRA FRACTURE;

EID: 3543103818     PISSN: 00039993     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.apmr.2003.09.021     Document Type: Article

References (31)

1. Major N.M., Helms C.A. Sacral stress fractures in long-distance runners. AJR Am J Roentgenol. 174:2000;727-729
2. Rousiere M., Kahan A., Job-Deslandre C. Postpartal sacral fracture without osteoporosis. Joint Bone Spine. 68:2001;71-73
3. Sibilia J., Javier R.M., Werle C., Kuntz J.L. Fracture of the sacrum in the absence of osteoporosis of pregnancy a rare skeletal complication of the postpartum. Br J Obstet Gynaecol. 106:1999;1096-1097
4. Grimaud A., Oddo F., Thibaud I., Brocq O., Euller-Ziegler L. [Fracture of the sacrum caused by bone insufficiency in a pregnant woman] [French]. J Radiol. 78:1997;511-512
5. Magee D.J. Orthopedic physical assessment. 3rd ed. :1987;397 WB Saunders, Philadelphia
6. Lourie H. Spontaneous osteoporotic fracture of the sacrum. An underrecognized syndrome of the elderly. JAMA. 248:1982;715-717
7. Lin J.T., Lachmann E., Nagler W. Sacral insufficiency fractures a report of two cases and a review of the literature. J Womens Health Gend Based Med. 10:2001;699-705
8. Semo H., Zwas Z., Goshen A., Levenkrohn S., Adunsky A. [Sacral insufficiency fractures and low back pain in elderly women] [Hebrew]. Harefuah. 136:1999;860-862
9. Chen C.K., Liang H.L., Lai P.H., et al. Imaging diagnosis of insufficiency fracture of the sacrum. Zhonghua Yi Xue Za Zhi (Taipei). 62:1999;591-597
10. Finiels H., Finiels P.J., Jacquot J.M., Strubel D. Fractures of the sacrum caused by bone insufficiency. Meta-analysis of 508 cases. Presse Med. 26:1997;1568-1573
11. Parikh V.A., Edlund J.W. Sacral insufficiency fractures-rare complication of pelvic radiation for rectal carcinoma report of a case. Dis Colon Rectum. 41:1998;254-257
12. Theinpont E., Simon J.P., Fabry G. Sacral stress fracture during pregnancy - a case report. Acta Orthop Scand. 70:1999;525-526
13. Johnson A.W., Weiss C.B., Stento K., Wheeler D.L. Stress fractures of the sacrum an atypical cause of low back pain in the female athlete. Am J Sports Med. 29:2001;498-508
14. Milgrom C. Sacral stress fracture in an elite college basketball player after the use of a jumping machine [letter]. Am J Sports Med. 28:2000;133
15. Crockett H.C., Wright J.M., Madsen M.W., Bates J.E., Potter H.G., Warren R.F. Sacral stress fracture in an elite college basketball player after the use of a jumping machine. Am J Sports Med. 27:1999;526-528
16. Elias W.J., Shaffrey M.E., Whitehill R. Sacral stress fracture following lumbosacral arthrodesis. Case illustration. J Neurosurg. 96:(1 Suppl):2002;135
17. Schmid L., Pfirrmann C., Hess T., Schlumpf U. Bilateral fracture of the sacrum associated with pregnancy a case report. Osteoporosis Int. 10:1999;91-93
18. Di Gregorio S., Danilowicz K., Rubin Z., Mautalen C. Osteoporosis with vertebral fractures associated with pregnancy and lactation. Nutrition. 16:2000;1052-1055
19. Nordin B.E., Roper A. Post pregnancy osteoporosis. A syndrome? Lancet. 1:1955;431-434
20. Kohlmeier L., Marcus R. Calcium disorders of pregnancy. Endocrinol Metab Clin North Am. 24:1995;15-39
21. Breuil V., Brocq O., Euller L., Grimaud A. Insufficiency fracture of the sacrum revealing a pregnancy associated osteoporosis. Ann Rheum Dis. 56:1997;278-279
22. Black A.J., Topping J., Durham B., Farquharson R.G., Fraser W.D. A detailed assessment of alterations in bone turnover, calcium homeostasis, and bone density in normal pregnancy. J Bone Miner Res. 15:2000;557-563
23. Phillips A.J., Ostelere S.J., Smith R. Pregnancy-associated osteoporosis does the skeleton recover? Osteoporosis Int. 11:2000;449-454
24. McFarland E., Giangarra C. Sacral stress fractures in athletes. Clin Orthop. Aug:(329):1996;240-243
25. Kent G., Price R., Guterridge D. Human lactation forearm trabecular bone loss, increased bone turnover, and renal conservation of calcium and inorganic phosphate with recovery of bone mass following weaning. J Bone Miner Res. 5:1990;361-369
26. Jones J.A. Insufficiency fracture of the sacrum with displacement and neurologic damage a case report and review of the literature. J Am Geriatr Soc. 39:1991;280
27. Henry A.P., Lachmann E., Tunkel R.S., Nagler W. Pelvic insufficiency fractures after irradiation diagnosis, management, and rehabilitation. Arch Phys Med Rehabil. 77:1996;414-416
28. Denis F., Davis S., Comfort T. Sacral fractures: an important problem. Retrospective analysis of 236 cases. Clin Orthop. Feb:(227):1988;67-81
29. Finiels P.J., Finiels H., Strubel D., Jacquot J.M. Spontaneous osteoporotic fractures of the sacrum causing neurological damage. Report of three cases. J Neurosurg. 97:(Suppl 3):2002;380-385
30. Negishi H., Kobayashi M., Nishida R., et al. Primary hyperparathyroidism and simultaneous bilateral fracture of the femoral neck during pregnancy. J Trauma. 52:2002;367-369
31. Babeyev M., Lachmann E., Nagler W. The controversy surrounding sacral insufficiency fractures. To ambulate or not to ambulate? Am J Phys Med Rehabil. 79:2000;404-409