Progressive instability of bilateral sacral fragility fractures in osteoporotic bone: a retrospective analysis of X-ray, CT, and MRI datasets from 78 cases.
Thomas MendelBernhard Wilhelm UllrichGunther Olaf HofmannPhilipp SchenkFelix GoehreStefan SchwanFriederike KlaukePublished in: European journal of trauma and emergency surgery : official publication of the European Trauma Society (2020)
Our results support the hypothesis of stagewise BFFS progression starting with unilateral sacral disruption followed by a contralateral lesion. Loss of sacral alar support leads to a TFC. Subsequent bone disruption causes iliolumbar ligament avulsion. MRI is recommended to detect bone oedema.
Keyphrases
- bone mineral density
- contrast enhanced
- magnetic resonance imaging
- postmenopausal women
- soft tissue
- bone loss
- bone regeneration
- computed tomography
- dual energy
- urinary tract
- multiple sclerosis
- high resolution
- body composition
- diffusion weighted imaging
- image quality
- mass spectrometry
- case report
- rna seq
- positron emission tomography
- electron microscopy