English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Spine surgeons are becoming increasingly aware of sacral insufficiency fractures as a complication after lumbosacral fusions. We present four patients who suffered from sacral fractures after multi-segmental posterior lumbosacral fusion together with a systematic review of the literature that yielded six papers reporting on 12 cases. Summarizing these 16 cases, the typical patient suffering from this complication is a female, elderly individual [66.4 +/- 12.3 (mean +/- SD) years of age, 95% confidence interval 57.89-71] undergoing multilevel fusion of 4.9 +/- 3.4 (95% CI 3.1-6.8) segments. Due to nonspecific clinical complaints and inconclusive imaging there has been a median delay in diagnosis of 5 (IQR 3-6, range 1-49) weeks after onset of pain. It remains unclear whether this complication is rare or rather under-diagnosed. Fortunately, these fractures are predominantly benign conditions that respond well to conservative management in the majority of cases, depending on location.

Sacral fractures after multi-segmental lumbosacral fusion: a series of four cases and systematic review of literature