{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T22:11:18Z","timestamp":1740175878875,"version":"3.37.3"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T00:00:00Z","timestamp":1616112000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T00:00:00Z","timestamp":1616112000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spinal Cord Ser Cases"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Osteoporosis is a common secondary complication of spinal cord injury, with fragility fractures typically occurring in the lower body and management often is conservative.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We present a 52-year-old male with chronic complete tetraplegia who presented to the emergency room with unremitting autonomic dysreflexia (AD). He was admitted for medical management of the AD when a source of the AD could not be identified. After an extensive workup, the patient was found to have bilateral sacral insufficiency fractures. He subsequently underwent sacroplasty with immediate and full resolution of AD symptoms and return to full premorbid function within 24\u2009h.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Discussion<\/jats:title>\n                <jats:p>People with chronic spinal cord injury (SCI) are at risk for spinal column fragility fractures in addition to lower extremity fractures. Vertebroplasty may be a safe option for treatment of insufficiency fractures in situations where conservative care may put people at risk for significant immobility-associated complications.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1038\/s41394-021-00393-7","type":"journal-article","created":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T15:04:03Z","timestamp":1616166243000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Treatment of bilateral sacral insufficiency fractures with sacroplasty in a patient with motor complete tetraplegia"],"prefix":"10.1038","volume":"7","author":[{"given":"Marla A.","family":"Petriello","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1213-1959","authenticated-orcid":false,"given":"Suzanne","family":"Groah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suman D.","family":"Matiana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,3,19]]},"reference":[{"key":"393_CR1","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1016\/j.pmrj.2014.08.948","volume":"7","author":"WA Bauman","year":"2015","unstructured":"Bauman WA, Cardozo CP. Osteoporosis in Individuals with Spinal Cord Injury. PMR 2015;7:188\u2013201.","journal-title":"PMR"},{"key":"393_CR2","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1007\/s00402-014-2143-0","volume":"135","author":"S Kanezaki","year":"2015","unstructured":"Kanezaki S, Rommens PM. Bilateral nonunion of the sacrum in a long-term paraplegic patient treated with trans-sacral bar and spinopelvic fixation. Arch Orthop Trauma Surg. 2015;135:345\u20139.","journal-title":"Arch Orthop Trauma Surg"},{"key":"393_CR3","doi-asserted-by":"publisher","first-page":"771","DOI":"10.1007\/s00586-006-0163-3","volume":"16","author":"A Reiter","year":"2006","unstructured":"Reiter A, Volk A, Vollmar J, Fromm B, Gerner H. Changes of basic bone turnover parameters in short-term and long-term patients with spinal cord injury. Eur Spine J. 2006;16:771\u20136.","journal-title":"Eur Spine J"},{"key":"393_CR4","doi-asserted-by":"publisher","first-page":"1798","DOI":"10.1007\/s00586-017-5114-7","volume":"27","author":"S Soleyman-Jahi","year":"2017","unstructured":"Soleyman-Jahi S, Yousefian A, Maheronnaghsh R, Shokraneh F, Zadegan S, Soltani A, et al. Evidence-based prevention and treatment of osteoporosis after spinal cord injury: a systematic review. Eur Spine J. 2017;27:1798\u2013814.","journal-title":"Eur Spine J"},{"key":"393_CR5","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1016\/j.apmr.2007.08.144","volume":"89","author":"W Logan Jr","year":"2008","unstructured":"Logan W Jr, Sloane R, Lyles K, Goldstein B, Hoenig H. Incidence of fractures in a cohort of veterans with chronic multiple sclerosis or traumatic spinal cord injury. Arch Phys Med Rehabil. 2008;89:237\u201343.","journal-title":"Arch Phys Med Rehabil"},{"key":"393_CR6","volume-title":"Spinal Cord Medicine","author":"S Kirshblum","year":"2019","unstructured":"Kirshblum S, Lin VW. Spinal Cord Medicine. 3rd edn. New York: Springer Publishing Company; 2019.","edition":"3rd edn"},{"key":"393_CR7","doi-asserted-by":"publisher","first-page":"1408","DOI":"10.1016\/S0140-6736(16)31341-1","volume":"388","author":"W Clark","year":"2016","unstructured":"Clark W, Bird P, Gonski P, Diamond T, Smerdely P, McNeil H, et al. Safety and efficacy of vertebroplasty for acute painful osteoporotic fractures (VAPOUR): a multicentre, randomised, double-blind, placebo-controlled trial. Lancet. 2016;388:1408\u201316.","journal-title":"Lancet"}],"container-title":["Spinal Cord Series and Cases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41394-021-00393-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41394-021-00393-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41394-021-00393-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T15:43:10Z","timestamp":1669822990000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41394-021-00393-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,19]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,12]]}},"alternative-id":["393"],"URL":"https:\/\/doi.org\/10.1038\/s41394-021-00393-7","relation":{},"ISSN":["2058-6124"],"issn-type":[{"type":"electronic","value":"2058-6124"}],"subject":[],"published":{"date-parts":[[2021,3,19]]},"assertion":[{"value":"14 October 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 March 2021","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 March 2021","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 March 2021","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"23"}}