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Spinal Deformity: A Case-Based Approach to Managing and Avoiding Complications

Sacral insufficiency fracture surgery complication

Publication ,  Chapter
LaBagnara, M; Sure, DR; Shaffrey, CI; Smith, JS
January 1, 2017

Sacral insufficiency fractures are a relatively uncommon complication following lumbosacral instrumented arthrodesis. Risk factors for developing an insufficiency fracture include osteopenia/osteoporosis, increased body mass index, an increased pelvic incidence (PI), and deformity correction and may additionally include surgical technique. Correctly diagnosing an insufficiency fracture can be challenging and requires a high index of suspicion. Diagnosis may be facilitated by lumbosacral computerized tomographic (CT) imaging with coronal reconstructions, as the fracture may be difficult to visualize with axial and sagittal sequences alone. In this chapter, we discuss a case of a postoperative sacral insufficiency fracture, the subsequent surgical treatment of this complication, and recommendations for complication avoidance.

Duke Scholars

DOI

ISBN

9783319600826

Publication Date

January 1, 2017

Start / End Page

321 / 327
 

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LaBagnara, M., Sure, D. R., Shaffrey, C. I., & Smith, J. S. (2017). Sacral insufficiency fracture surgery complication. In Spinal Deformity: A Case-Based Approach to Managing and Avoiding Complications (pp. 321–327). https://doi.org/10.1007/978-3-319-60083-3_34
LaBagnara, M., D. R. Sure, C. I. Shaffrey, and J. S. Smith. “Sacral insufficiency fracture surgery complication.” In Spinal Deformity: A Case-Based Approach to Managing and Avoiding Complications, 321–27, 2017. https://doi.org/10.1007/978-3-319-60083-3_34.
LaBagnara M, Sure DR, Shaffrey CI, Smith JS. Sacral insufficiency fracture surgery complication. In: Spinal Deformity: A Case-Based Approach to Managing and Avoiding Complications. 2017. p. 321–7.
LaBagnara, M., et al. “Sacral insufficiency fracture surgery complication.” Spinal Deformity: A Case-Based Approach to Managing and Avoiding Complications, 2017, pp. 321–27. Scopus, doi:10.1007/978-3-319-60083-3_34.
LaBagnara M, Sure DR, Shaffrey CI, Smith JS. Sacral insufficiency fracture surgery complication. Spinal Deformity: A Case-Based Approach to Managing and Avoiding Complications. 2017. p. 321–327.
Journal cover image

DOI

ISBN

9783319600826

Publication Date

January 1, 2017

Start / End Page

321 / 327