{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T00:42:54Z","timestamp":1784335374830,"version":"3.55.0"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>To evaluate the effectiveness of transsacral-transiliac screw fixation for the treatment of sacral insufficiency fractures that fail nonoperative treatment.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>A pilot study series of consecutive patients identified over 5 years were treated and followed prospectively.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Academic-affiliated, tertiary referral, level 1 trauma center in Dallas, TX.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients\/Participants:<\/jats:title>\n            <jats:p>Patients were selected on the basis of presenting diagnosis, and failure of nonoperative treatment of their sacral insufficiency fracture. Eleven patients entered to the study, and 10 completed follow-up.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>Placement of transsacral-transiliac screws for sacral insufficiency fracture.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measurements:<\/jats:title>\n            <jats:p>Comparison of preoperative and postoperative Visual Analog Scale scores and Oswestry Low Back Disability Index scores.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Patients experienced statistically significant improvement in both outcome measures after intervention. No complications encountered.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Transsacral-transiliac screw fixation seems to be a safe and effective treatment for sacral insufficiency fractures recalcitrant to nonoperative management.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000000596","type":"journal-article","created":{"date-parts":[[2016,4,29]],"date-time":"2016-04-29T13:11:51Z","timestamp":1461935511000},"page":"469-473","source":"Crossref","is-referenced-by-count":40,"title":["Transsacral-Transiliac Screw Stabilization: Effective for Recalcitrant Pain Due to Sacral Insufficiency Fracture"],"prefix":"10.1097","volume":"30","author":[{"given":"Drew","family":"Sanders","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Texas Southwestern, Dallas, TX; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Fox","sequence":"additional","affiliation":[{"name":"Orthopaedic Trauma Service, Tampa, FL."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Starr","sequence":"additional","affiliation":[{"name":"Orthopaedic Trauma Service, Tampa, FL."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashoke","family":"Sathy","sequence":"additional","affiliation":[{"name":"Orthopaedic Trauma Service, Tampa, FL."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Chao","sequence":"additional","affiliation":[{"name":"Orthopaedic Trauma Service, Tampa, FL."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1001\/jama.1982.03330060055034","article-title":"Spontaneous osteoporotic fracture of the sacrum. 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