Fragility fractures of the sacrum occur in elderly patients with severe loss of sacral bone mass.

Daniel WagnerAlexander HofmannLukas KamerTakeshi SawaguchiRobert Geoffrey Richards Hansrudi Noser Dominik Gruszka Pol Maria Rommens

Published in: Archives of orthopaedic and trauma surgery (2018)

The extensive area of negative HU may explain the fracture location in the sacral ala. The low HU in the sacral bodies advocates the use of trans-sacral implants or augmented iliosacral screws to enhance the strength of fracture fixation. The increased HU in the fractured ala could be explained by fracture-asssociated hemorrhage and can be used as a diagnostic tool.

Keyphrases

urinary tract
hip fracture
soft tissue
bone mineral density
early onset
middle aged
drug induced