{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:26:24Z","timestamp":1782602784705,"version":"3.54.5"},"reference-count":11,"publisher":"SLACK, Inc.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2009,6]]},"abstract":"<jats:p>In contrast to radicular pain during pregnancy, the incidence of postpartum radicular pain is rare. Sacral stress fractures are unusual but important causes for low-back and buttock pain and even postpartum radicular pain. To date, only 10 postpartum sacral stress fractures have been reported in the literature, with two descriptions of radicular pain as the presenting symptom.<\/jats:p>\n          <jats:p>A 36-year-old woman, 7 days after her second delivery, presented with symptoms of spontaneous acute claudicating in conjunction with a left-leg radicular pain for 5 days. Imaging studies revealed a left sacral stress fracture. Bone mineral density was normal. The patient reported no pelvic, back, or radicular pain during the pregnancy, and had no history of menstrual irregularities, previous fracture, eating disorder, trauma, or endocrine or metabolic diseases. No smoking or use of anticoagulation drugs was reported. Her obstetric and labor history showed no other risk factors. Epidural analgesia was used. Treatment consisted of toe-touch walking with crutches for 2 months, followed by full weight bearing, which resolved nearly all her symptoms.<\/jats:p>\n          <jats:p>Clinicians should consider sacral fracture as a diagnostic possibility in postpartum and pregnant patients with lower back and\/or buttock pain with or without radicular pain. Bone scintigraphy and computed tomography are considered harmful for the fetus. Magneitc resonance imaging, which is more suitable for pregnancy, is more sensitive than bone scintigraphy in revealing stress injuries of the bone. Physical examination and proper radiologic evaluation are the main keys for revealing the pathology.<\/jats:p>","DOI":"10.3928\/01477447-20090511-24","type":"journal-article","created":{"date-parts":[[2009,8,14]],"date-time":"2009-08-14T14:28:55Z","timestamp":1250260135000},"page":"447-450","source":"Crossref","is-referenced-by-count":16,"title":["Labor-Related Sacral Stress Fracture Presenting as Lower Limb Radicular Pain"],"prefix":"10.3928","volume":"32","author":[{"given":"Ran","family":"Thein","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gideon","family":"Burstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nogah","family":"Shabshin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"issue":"2","key":"e_1_3_1_2_2","first-page":"279","article-title":"Incidence of postpartum lumbosacral spine and lower extremity nerve injuries","volume":"101","author":"Wong CA","year":"2003","unstructured":"Wong CA, Scavone BM, Dugan S, . Incidence of postpartum lumbosacral spine and lower extremity nerve injuries. Obstet Gynecol. 2003; 101(2):279\u2013288.","journal-title":"Obstet Gynecol"},{"issue":"10","key":"e_1_3_1_3_2","first-page":"1472","article-title":"Occult sacral fractures in osteopenic patients","volume":"74","author":"Newhouse KE","year":"1992","unstructured":"Newhouse KE, el-Khoury GY, Buckwalter JA. Occult sacral fractures in osteopenic patients. J Bone Joint Surg Am. 1992; 74(10):1472\u20131477.","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199312000-00020"},{"issue":"1","key":"e_1_3_1_5_2","first-page":"65","article-title":"Understanding and managing the back pain of pregnancy","volume":"3","author":"Carlson HL","year":"2003","unstructured":"Carlson HL, Carlson NL, Pasternak BA, Balderston KD. Understanding and managing the back pain of pregnancy. Curr Womens Health Rep. 2003; 3(1):65\u201371.","journal-title":"Curr Womens Health Rep"},{"issue":"3","key":"e_1_3_1_6_2","first-page":"192","article-title":"Postpartal atraumatic sacral fracture. A case report and biomechanical comments","volume":"73","author":"Druga R","year":"2008","unstructured":"Druga R, Drugov\u00e1 B. Postpartal atraumatic sacral fracture. A case report and biomechanical comments. Ceska Gynekol. 2008; 73(3):192\u2013195.","journal-title":"Ceska Gynekol"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2003.09.021"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198802000-00010"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(55)90214-2"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.2000.15.3.557"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/230949900701500320"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/028418502127347790"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20090511-24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T14:57:36Z","timestamp":1716562656000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20090511-24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,6]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2009,6]]}},"alternative-id":["10.3928\/01477447-20090511-24"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20090511-24","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,6]]}}}