{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T10:58:01Z","timestamp":1793012281504,"version":"4.5.0"},"reference-count":87,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"23","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12,3]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a2 Sacral insufficiency fractures are associated with high morbidity and mortality rates and are becoming increasingly prevalent in elderly patients with osteoporosis.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Prompt identification of these injuries and appropriate treatment for stable and unstable fractures can reduce patient morbidity.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 The treatment of sacral insufficiency fractures depends on the severity of symptoms, which, in most cases, is associated with the degree of fracture instability. Treatment options include nonoperative measures, pharmacologic therapies, procedural treatments, and operative management.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Sacroplasty may be an effective procedural treatment for sacral insufficiency fractures, although there has been a lack of comparative studies, and complication types and rates are concerning.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Percutaneous posterior pelvic ring screws demonstrate stable fixation, allowing early patient mobilization. Standard posterior pelvic ring percutaneous fixation has high screw backout rates, although new implants may mitigate these complications.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 There have been limited comparative data on outcomes following treatment of these injuries across procedural and operative techniques.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.25.00482","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T16:00:30Z","timestamp":1764777630000},"page":"2627-2635","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Sacral Insufficiency Fractures: Pathology, Management, and Outcomes"],"prefix":"10.2106","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7159-1782","authenticated-orcid":false,"given":"Andrew P.","family":"Collins","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington"},{"name":"Harborview Medical Center, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Roddy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington"},{"name":"Harborview Medical Center, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5406-1359","authenticated-orcid":false,"given":"William T.","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington"},{"name":"Harborview Medical Center, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0221-2408","authenticated-orcid":false,"given":"Reza","family":"Firoozabadi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington"},{"name":"Harborview Medical Center, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,3]]},"reference":[{"issue":"18","key":"bib1-20251203","doi-asserted-by":"crossref","first-page":"E1103","DOI":"10.1097\/BRS.0000000000000448","article-title":"Incidence of sacral fractures and in-hospital postoperative complications in the United States: an analysis of 2002-2011 data","volume":"39","author":"Bydon","year":"2014","journal-title":"Spine (Phila Pa 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