Turkish Journal of Physical Medicine and Rehabilitation 2011 , Vol 57 , Num 2
Sacral Insufficiency Fracture Presenting as Lumbar Spinal Pathology in an Osteoporotic Patient: A Case Report
Hidayet Sarı 1 ,Nurettin İrem Örnek 1 ,Ülkü Akarırmak 2
1 İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye
2 İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul Türkiye
DOI : 10.4274/tftr.45822

Sacral insufficiency fractures are a rare type of osteoporotic fracture which mainly occurs in elderly osteoporotic patients without specific trauma. Low back and hip pain are the most frequent complaints associated with sacral insufficiency fracture. Thus, if sacral insufficiency fracture is not considered in the differential diagnosis, the diagnosis may be difficult or delayed. In this case report, we present a patient who attended our outpatient clinic with low back and leg pain and who was first diagnosed as having lumbosacral pathology according to magnetic resonance imaging findings. Our aim was to point out the difficulty in diagnosing sacral fracture and the delay in diagnosis and treatment. 

Keywords : Sacral insufficiency fracture, lumbosacral pathology, osteoporosis, stress fracture