{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T06:58:29Z","timestamp":1761807509220},"reference-count":17,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,10]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 The author describes a woman in whom an S1\u20132 fracture developed after L4\u2014S1 decompression and fusion. Osteoporosis was not present, but the lesion failed to respond to conservative therapy, necessitating surgical extension of the spinal fusion. Although biomechanical complications of lumbosacral fusion are uncommon, pseudarthrosis, degenerative spondylolisthesis, and stress fractures have been reported. To date, only four cases of sacral stress fracture appear in the literature, all involving female patients and reportedly associated with osteoporosis. Unlike the present case, the fracture resolved satisfactorily in all cases with conservative treatment.<\/jats:p>","DOI":"10.3171\/spi.2003.99.3.0310","type":"journal-article","created":{"date-parts":[[2009,5,7]],"date-time":"2009-05-07T15:56:00Z","timestamp":1241711760000},"page":"310-312","source":"Crossref","is-referenced-by-count":6,"title":["Fracture of S1\u2013S2 after L4\u2014S1 decompression and fusion"],"prefix":"10.3171","volume":"99","author":[{"given":"Bikash","family":"Bose","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurosurg (Spine 2)","doi-asserted-by":"publisher","first-page":"142","DOI":"10.3171\/spi.2000.92.2.0142","article-title":"Management of low lumbar fractures by dorsal decompression, fusion, and lumbosacral laminar distraction fixation.","volume":"92","author":"Benzel","year":"2000"},{"key":"b2","series-title":"J Neurosurg (Spine 1)","doi-asserted-by":"publisher","first-page":"135","DOI":"10.3171\/spi.2002.96.1.0135","article-title":"Sacral stress fracture following lumbosacral arthrodesis. 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