{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T03:27:01Z","timestamp":1783481221978,"version":"3.55.0"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2012,5,16]],"date-time":"2012-05-16T00:00:00Z","timestamp":1337126400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Curr Rev Musculoskelet Med"],"published-print":{"date-parts":[[2012,9]]},"DOI":"10.1007\/s12178-012-9128-9","type":"journal-article","created":{"date-parts":[[2012,5,15]],"date-time":"2012-05-15T08:20:19Z","timestamp":1337070019000},"page":"222-228","source":"Crossref","is-referenced-by-count":95,"title":["Fragility fractures of the pelvis"],"prefix":"10.1007","volume":"5","author":[{"given":"Gillian L. S.","family":"Soles","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania A.","family":"Ferguson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2012,5,16]]},"reference":[{"issue":"8","key":"9128_CR1","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1302\/0301-620X.83B8.11709","volume":"83","author":"RM Hill","year":"2001","unstructured":"\u2022 Hill RM, Robinson CM, Keating JF. Fractures of the pubic rami. Epidemiology and five-year survival. J Bone Joint Surg Br. 2001;83(8):1141\u20134. This study points out the high rate of mortality associated with osteoporotic pelvic fractures. In addition, at five years there was no difference in mortality between patients with pelvic fractures and patients with hip fractures. We feel this finding is important and should be emphasized.","journal-title":"J Bone Joint Surg Br"},{"issue":"4","key":"9128_CR2","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/S1297-319X(03)00015-0","volume":"70","author":"J Taillandier","year":"2003","unstructured":"Taillandier J, Langue F, Alemanni M, et al. Mortality and functional outcomes of pelvic insufficiency fractures in older patients. Joint Bone Spine. 2003;70(4):287\u20139.","journal-title":"Joint Bone Spine"},{"issue":"5","key":"9128_CR3","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/j.jbspin.2008.01.024","volume":"75","author":"V Breuil","year":"2008","unstructured":"Breuil V, Roux CH, Testa J, et al. Outcome of osteoporotic pelvic fractures: An underestimated severity. Survey of 60 cases. Joint Bone Spine. 2008;75(5):585\u20138.","journal-title":"Joint Bone Spine"},{"issue":"900","key":"9128_CR4","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1136\/pmj.76.900.646","volume":"76","author":"RO Morris","year":"2000","unstructured":"\u2022 Morris RO, Sonibare A, Green DJ, et al. Closed pelvic fractures: characteristics and outcomes in older patients admitted to medical and geriatric wards. Postgrad Med J. 2000;76(900):646\u201350. This study is important to our understanding of the poor patient outcomes following conservative management of sacral insufficiency fractures. The authors demonstrate a significant impact on patient mobility and dependence post injury..","journal-title":"Postgrad Med J"},{"issue":"3","key":"9128_CR5","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1359\/jbmr.061113","volume":"22","author":"R Burge","year":"2006","unstructured":"Burge R, Dawson-Hughes B, Solomon DH, et al. Incidence and Economic Burden of Osteoporosis-Related Fractures in the United States, 2005\u20132025. J Bone Miner Res. 2006;22(3):465\u201375.","journal-title":"J Bone Miner Res"},{"issue":"5","key":"9128_CR6","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1007\/s001980070112","volume":"11","author":"PP Kannus","year":"2000","unstructured":"\u2022 Kannus PP, Palvanen MM, Niemi SS, et al. Epidemiology of osteoporotic pelvic fractures in elderly people in Finland: sharp increase in 1970\u20131997 and alarming projections for the new millennium. Osteoporos Int. 2000;11(5):443\u20138. This epidemiologic study highlights the rapid increase in the incidence of osteoporotic pelvic fractures in the elderly patient population. The authors emphasize that this trend is expected to continue with the number of fractures tripling by 2030. This data points to an important public health problem which deserves our attention..","journal-title":"Osteoporos Int"},{"key":"9128_CR7","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00003086-198103000-00008","volume":"155","author":"LJ Melton","year":"1981","unstructured":"Melton LJ, Sampson JM, Morrey BF, et al. Epidemiologic features of pelvic fractures. Clin Orthop Relat Res. 1981;155:43\u20137.","journal-title":"Clin Orthop Relat Res"},{"issue":"12","key":"9128_CR8","doi-asserted-by":"crossref","first-page":"1716","DOI":"10.1007\/s00198-006-0175-1","volume":"17","author":"E Tsiridis","year":"2006","unstructured":"Tsiridis E, Upadhyay N, Giannoudis PV. Sacral insufficiency fractures: current concepts of management. Osteoporos Int. 2006;17(12):1716\u201325.","journal-title":"Osteoporos Int"},{"key":"9128_CR9","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1097\/00003086-198105000-00027","volume":"156","author":"H Pogrund","year":"1981","unstructured":"Pogrund H, Rigal W, Makin M, et al. Determination of osteoporosis in patients with fractured femoral neck using the Singh index: a Jerusalem study. Clin Orthop Relat Res. 1981;156:189.","journal-title":"Clin Orthop Relat Res"},{"issue":"6","key":"9128_CR10","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1302\/0301-620X.76B6.7983111","volume":"76","author":"I Gotis-Graham","year":"1994","unstructured":"Gotis-Graham I, McGuigan L, Diamond T, et al. Sacral insufficiency fractures in the elderly. J Bone Joint Surg Br. 1994;76(6):882.","journal-title":"J Bone Joint Surg Br"},{"key":"9128_CR11","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1097\/00003086-198802000-00010","volume":"227","author":"F Denis","year":"1988","unstructured":"Denis F, Davis S, Comfort T. Sacral fractures: an important problem. Retrospective analysis of 236 cases. Clin Orthop Relat Res. 1988;227:67\u201381.","journal-title":"Clin Orthop Relat Res"},{"issue":"7","key":"9128_CR12","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1097\/00005373-198907000-00012","volume":"29","author":"S Dalal","year":"1989","unstructured":"Dalal S, Burgess A, Siegel J, et al. Pelvic fracture in multiple trauma: classification by mechanism is key to pattern of organ injury, resuscitative requirements, and outcome. J Trauma. 1989;29(7):981\u20131000. discussion 1000\u20132.","journal-title":"J Trauma"},{"issue":"9","key":"9128_CR13","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1007\/s00402-010-1108-1","volume":"130","author":"D Krappinger","year":"2010","unstructured":"Krappinger D, Kammerlander C, Hak DJ, et al. Low-energy osteoporotic pelvic fractures. Arch Orthop Trauma Surg. 2010;130(9):1167\u201375.","journal-title":"Arch Orthop Trauma Surg"},{"issue":"9","key":"9128_CR14","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1097\/00007632-198511000-00011","volume":"10","author":"R Roy-Camille","year":"1985","unstructured":"Roy-Camille R, Saillant G, Gagna G, et al. Transverse fracture of the upper sacrum. Suicidal jumper's fracture. Spine. 1985;10(9):838\u201345.","journal-title":"Spine"},{"issue":"12","key":"9128_CR15","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1097\/00005373-198612000-00010","volume":"26","author":"C Sabiston","year":"1986","unstructured":"Sabiston C, Wing P. Sacral fractures: classification and neurologic implications. J Trauma. 1986;26(12):1113\u20135.","journal-title":"J Trauma"},{"issue":"4","key":"9128_CR16","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1097\/BRS.0b013e318191ea01","volume":"34","author":"NJ Linstrom","year":"2009","unstructured":"Linstrom NJ, Heiserman JE, Kortman KE, et al. Anatomical and Biomechanical Analyses of the Unique and Consistent Locations of Sacral Insufficiency Fractures. Spine. 2009;34(4):309\u201315.","journal-title":"Spine"},{"issue":"3","key":"9128_CR17","doi-asserted-by":"crossref","first-page":"601","DOI":"10.2214\/ajr.145.3.601","volume":"145","author":"AA Smet De","year":"1985","unstructured":"De Smet AA, Neff JR. Pubic and sacral insufficiency fractures: clinical course and radiologic findings. AJR Am J Roentgenol. 1985;145(3):601\u20136.","journal-title":"AJR Am J Roentgenol"},{"issue":"6","key":"9128_CR18","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1001\/archinte.1996.00440060096012","volume":"156","author":"A Grasland","year":"1996","unstructured":"Grasland A, Pouchot J, Mathieu A, et al. Sacral insufficiency fractures: an easily overlooked cause of back pain in elderly women. Arch Intern Med. 1996;156(6):668\u201374.","journal-title":"Arch Intern Med"},{"issue":"2","key":"9128_CR19","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1148\/radiographics.16.2.8966291","volume":"16","author":"WC Peh","year":"1996","unstructured":"Peh WC, Khong PL, Yin Y, et al. Imaging of pelvic insufficiency fractures. Radiographics. 1996;16(2):335\u201348.","journal-title":"Radiographics"},{"issue":"922","key":"9128_CR20","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1259\/bjr\/81974373","volume":"77","author":"SP Blake","year":"2004","unstructured":"Blake SP. Sacral insufficiency fracture. Br J Radiol. 2004;77(922):891\u20136.","journal-title":"Br J Radiol"},{"issue":"2","key":"9128_CR21","doi-asserted-by":"crossref","first-page":"201","DOI":"10.3174\/ajnr.A1666","volume":"31","author":"EM Lyders","year":"2010","unstructured":"Lyders EM, Whitlow CT, Baker MD, et al. Imaging and Treatment of Sacral Insufficiency Fractures. Am J Neuroradiol. 2010;31(2):201\u201310.","journal-title":"Am J Neuroradiol"},{"key":"9128_CR22","first-page":"202","volume":"128","author":"SD Gertzbein","year":"1977","unstructured":"Gertzbein SD, Chenoweth DR. Occult injuries of the pelvic ring. Clin Orthop Relat Res. 1977;128:202\u20137.","journal-title":"Clin Orthop Relat Res"},{"issue":"33","key":"9128_CR23","first-page":"1568","volume":"26","author":"H Finiels","year":"1997","unstructured":"Finiels H, Finiels P, Jacquot J, et al. Fractures of the sacrum caused by bone insufficiency. Meta-analysis of 508 cases. Presse Med. 1997;26(33):1568\u201373.","journal-title":"Presse Med"},{"issue":"2","key":"9128_CR24","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/0899-7071(94)00030-G","volume":"19","author":"W Peh","year":"1995","unstructured":"Peh W, Khong P, Ho W, et al. Sacral insufficiency fractures. Spectrum of radiological features. Clin Imaging. 1995;19(2):92\u2013101.","journal-title":"Clin Imaging"},{"issue":"4","key":"9128_CR25","doi-asserted-by":"crossref","first-page":"995","DOI":"10.2214\/AJR.07.3714","volume":"191","author":"MC Cabarrus","year":"2008","unstructured":"Cabarrus MC, Ambekar A, Lu Y, et al. MRI and CT of Insufficiency Fractures of the Pelvis and the Proximal Femur. Am J Roentgenol. 2008;191(4):995\u20131001.","journal-title":"Am J Roentgenol"},{"issue":"4","key":"9128_CR26","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1080\/17453670510044634","volume":"76","author":"TDA Cosker","year":"2005","unstructured":"Cosker TDA, Ghandour A, Gupta SK, et al. Pelvic ramus fractures in the elderly. Acta Orthop. 2005;76(4):513\u20136.","journal-title":"Acta Orthop"},{"issue":"4","key":"9128_CR27","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1097\/00002060-200007000-00014","volume":"79","author":"M Babayev","year":"2000","unstructured":"Babayev M, Lachmann E, Nagler W. The controversy surrounding sacral insufficiency fractures: to ambulate or not to ambulate? Am J Phys Med Rehabil. 2000;79(4):404\u20139.","journal-title":"Am J Phys Med Rehabil"},{"issue":"1","key":"9128_CR28","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1097\/00005131-199701000-00003","volume":"11","author":"KJ Koval","year":"1997","unstructured":"Koval KJ, Aharonoff GB, Schwartz MC, et al. Pubic rami fracture: A benign pelvic injury? J Orthop Trauma. 1997;11(1):7.","journal-title":"J Orthop Trauma"},{"issue":"12","key":"9128_CR29","doi-asserted-by":"crossref","first-page":"2692","DOI":"10.1172\/JCI118722","volume":"97","author":"GA Rodan","year":"1996","unstructured":"Rodan GA, Fleisch HA. Bisphosphonates: mechanisms of action. J Clin Invest. 1996;97(12):2692.","journal-title":"J Clin Invest"},{"issue":"1","key":"9128_CR30","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1007\/s001980050010","volume":"11","author":"J Reginster","year":"2000","unstructured":"Reginster J, Minne H, Sorensen O, et al. Randomized trial of the effects of risedronate on vertebral fractures in women with established postmenopausal osteoporosis. Vertebral Efficacy with Risedronate Therapy (VERT) Study Group. Osteoporos Int. 2000;11(1):83\u201391.","journal-title":"Osteoporos Int"},{"issue":"22","key":"9128_CR31","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1056\/NEJM199511303332201","volume":"333","author":"U Liberman","year":"1995","unstructured":"Liberman U, Weiss S, Broll J, et al. Effect of oral alendronate on bone mineral density and the incidence of fractures in postmenopausal osteoporosis. The Alendronate Phase III Osteoporosis Treatment Study Group. N Engl J Med. 1995;333(22):1437\u201343.","journal-title":"N Engl J Med"},{"issue":"17","key":"9128_CR32","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.2106\/JBJS.J.01379","volume":"93","author":"P Peichl","year":"2011","unstructured":"\u2022 Peichl P. Parathyroid Hormone 1\u201384 Accelerates Fracture-Healing in Pubic Bones of Elderly Osteoporotic Women. J Bone Joint Surg Am. 2011;93(17):1583. This randomized controlled trial evaluating the use of recombinant human PTH in insufficiency fractures has encouraging results. The data suggests that recombinant human PTH can increase bone mineral density, reduce fracture risk, and enhance fracture healing. Further research is needed to determine the precise role of recombinant human PTH in the medical management of insufficiency fractures..","journal-title":"J Bone Joint Surg Am"},{"issue":"5","key":"9128_CR33","first-page":"1003","volume":"24","author":"W Pommersheim","year":"2003","unstructured":"Pommersheim W, Huang-Hellinger F, Baker M, et al. Sacroplasty: a treatment for sacral insufficiency fractures. Am J Neuroradiol. 2003;24(5):1003\u20137.","journal-title":"Am J Neuroradiol"},{"issue":"6","key":"9128_CR34","doi-asserted-by":"crossref","first-page":"1956","DOI":"10.2214\/ajr.184.6.01841956","volume":"184","author":"CL Butler","year":"2005","unstructured":"Butler CL, Given CA, Michel SJ, et al. Percutaneous sacroplasty for the treatment of sacral insufficiency fractures. AJR Am J Roentgenol. 2005;184(6):1956\u20139.","journal-title":"AJR Am J Roentgenol"},{"issue":"15","key":"9128_CR35","doi-asserted-by":"crossref","first-page":"1635","DOI":"10.1097\/BRS.0b013e318074d4e1","volume":"32","author":"ME Frey","year":"2007","unstructured":"Frey ME, DePalma MJ, Cifu DX, et al. Efficacy and safety of percutaneous sacroplasty for painful osteoporotic sacral insufficiency fractures: a prospective, multicenter trial. Spine. 2007;32(15):1635\u201340.","journal-title":"Spine"},{"issue":"2","key":"9128_CR36","doi-asserted-by":"crossref","first-page":"315","DOI":"10.3174\/ajnr.A1358","volume":"30","author":"AM Richards","year":"2008","unstructured":"Richards AM, Mears SC, Knight TA, et al. Biomechanical Analysis of Sacroplasty: Does Volume or Location of Cement Matter? Am J Neuroradiol. 2008;30(2):315\u20137.","journal-title":"Am J Neuroradiol"},{"issue":"1","key":"9128_CR37","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1007\/s00402-005-0069-2","volume":"126","author":"PE Beaul\u00e9","year":"2005","unstructured":"Beaul\u00e9 PE, Antoniades J, Matta JM. Trans-sacral fixation for failed posterior fixation of the pelvic ring. Arch Orthop Trauma Surg. 2005;126(1):49\u201352.","journal-title":"Arch Orthop Trauma Surg"},{"issue":"6","key":"9128_CR38","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1097\/BOT.0b013e3181e47fad","volume":"25","author":"MJ Gardner","year":"2011","unstructured":"\u2022 Gardner MJ, Routt MLC. Transiliac-transsacral screws for posterior pelvic stabilization. J Orthop Trauma. 2011;25(6):378\u201384. In this case series including patients with osteoporosis and insufficiency fractures the surgical technique and clinical experience using transiliac-transsacral screws is reported. The important points to note are greater screw length assists in distributing the load and resisting vertical shear forces, the holding power is increased by the additional screw threads, and that anchoring the screw in iliac cortical bone aids in maintenance of reduction. This technique is the mainstay of our surgical management of these patients..","journal-title":"J Orthop Trauma"},{"issue":"10","key":"9128_CR39","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1097\/BOT.0b013e3181df97eb","volume":"24","author":"BR Moed","year":"2010","unstructured":"Moed BR, Whiting DR. Locked transsacral screw fixation of bilateral injuries of the posterior pelvic ring: initial clinical series. J Orthop Trauma. 2010;24(10):616.","journal-title":"J Orthop Trauma"}],"container-title":["Current Reviews in Musculoskeletal Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s12178-012-9128-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s12178-012-9128-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s12178-012-9128-9","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,15]],"date-time":"2022-01-15T17:42:34Z","timestamp":1642268554000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s12178-012-9128-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5,16]]},"references-count":39,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2012,9]]}},"alternative-id":["9128"],"URL":"https:\/\/doi.org\/10.1007\/s12178-012-9128-9","relation":{},"ISSN":["1935-973X","1935-9748"],"issn-type":[{"value":"1935-973X","type":"print"},{"value":"1935-9748","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,5,16]]}}}