{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:14:16Z","timestamp":1787004856826,"version":"build-2736575974"},"reference-count":63,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>An increasing incidence of sacral insufficiency fractures in geriatric patients has been documented, representing a major challenge to our healthcare system. Determining the accurate\n          diagnosis requires the use of sectional imaging, including computed tomography and magnetic resonance imaging. Initially, non-surgical treatment is indicated for the majority of patients. If\n          non-surgical treatment fails, several minimally invasive therapeutic strategies can be used, which have shown promising results in small case series. These approaches are sacroplasty,\n          percutaneous iliosacral screw fixation (S1 with or without S2), trans-sacral screw fixation or implantation of a trans-sacral bar, transiliac internal fixator stabilisation, and spinopelvic\n          stabilisation. These surgical strategies and their indications are reported in detail. Generally, treatment-related decision making depends on the clinical presentation, fracture morphology,\n          and attending surgeon\u02bcs experience.<\/jats:p>","DOI":"10.1055\/a-1498-2975","type":"journal-article","created":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T20:49:05Z","timestamp":1627418945000},"page":"143-153","source":"Crossref","is-referenced-by-count":9,"title":["Current Minimally Invasive Surgical Concepts for Sacral Insufficiency Fractures"],"prefix":"10.1055","volume":"161","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5179-4192","authenticated-orcid":false,"given":"Ulrich Josef Albert","family":"Spiegl","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Trauma and Reconstructive Surgery, University of Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus J.","family":"Schnake","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Wirbels\u00e4ulen- und Skoliosetherapie, Malteser Waldkrankenhaus St Marien gGmbH, Erlangen, Germany"},{"name":"Klinik f\u00fcr Orthop\u00e4die und Unfallchirurgie, Universit\u00e4tsklinik der Paracelsus Medizinischen Privatuniversit\u00e4t Klinikum N\u00fcrnberg, N\u00fcrnberg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Ullrich","sequence":"additional","affiliation":[{"name":"Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1392-3990","authenticated-orcid":false,"given":"Max J.","family":"Scheyerer","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Orthop\u00e4die und Unfallchirurgie, Universit\u00e4tsklinik K\u00f6ln, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"Osterhoff","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Trauma and Reconstructive Surgery, University of Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger","family":"Siekmann","sequence":"additional","affiliation":[{"name":"Unfallchirurgie, AMEOS Klinikum Sankt Salvator Halberstadt GmbH, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,7,27]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1733","DOI":"10.1016\/j.injury.2013.06.023","article-title":"Comprehensive classification of fragility fractures of the pelvic ring: Recommendations for surgical treatment","volume":"44","author":"P M Rommens","year":"2013","journal-title":"Injury"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"599","DOI":"10.2214\/ajr.158.3.1739002","article-title":"Radiation-induced insufficiency fractures of the pelvis: evaluation with 99\u2009mTc-methylene diphosphonate scintigraphy","volume":"158","author":"H Abe","year":"1992","journal-title":"AJR Am J Roentgenol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.medici.2014.09.006","article-title":"Sacral insufficiency fracture after pelvic radiotherapy: a diagnostic challenge for a radiologist","volume":"50","author":"O Lapina","year":"2014","journal-title":"Medicina (Kaunas)"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1093\/rheumatology\/37.7.789","article-title":"Sacral insufficiency fractures: an unsuspected cause of low back pain","volume":"37","author":"B Dasgupta","year":"1998","journal-title":"Br J Rheumatol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1007\/s002560050278","article-title":"Role of MRI in the diagnosis of insufficiency fractures of the sacrum and acetabular roof","volume":"26","author":"C Grangier","year":"1997","journal-title":"Skeletal Radiol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"60","DOI":"10.12659\/AJCR.892631","article-title":"Misdiagnosis of sacral stress fracture: an underestimated cause of low back pain in pregnancy?","volume":"16","author":"A Deschamps Perdomo","year":"2015","journal-title":"Am J Case Rep"},{"key":"ref7","first-page":"1568","article-title":"[Fractures of the sacrum caused by bone insufficiency. 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