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Case #26

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Demographics: 85 years old, Female
Indication: Back pain

Case #26

Findings

  • Acute bilateral vertically-oriented sacral insufficiency fractures
  • No acute fracture or traumatic malalignment of the lumbar spine
  • Multilevel degenerative changes with advanced disc space narrowing and vacuum disc phenomenon at L1-L2 and L5-S1
  • Moderate to severe degenerative spinal canal stenosis at L3-L4 and L4-L5
  • Incidental left adrenal myelolipoma

Diagnosis

Sacral insufficiency fractures

Sample Report

Acute bilateral vertically-oriented sacral insufficiency fractures.

No acute fracture or traumatic malalignment of the lumbar spine.

Multilevel degenerative changes with advanced disc space narrowing and vacuum disc phenomenon at L1-L2 and L5-S1.

Incidental left adrenal myelolipoma.

Discussion

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References

  • Peh WC, Khong PL, Yin Y, Ho W-Y, Evans NS, Gilula LA, Yeung HWD, Davies AM. Imaging of pelvic insufficiency fractures. Radiographics 1996;16:335–348.

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