{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:44:01Z","timestamp":1787031841090,"version":"build-2736575974"},"reference-count":61,"publisher":"Open Medical Publishing","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Fragility fractures of the sacrum (FFS) are caused by low-energy trauma in the elderly population. Due to the nuanced symptomatology, many FFS remains unrecognized and the prevalence is underestimated. The clinical presentation varies, typically presenting with weightbearing low back pain without even remembering of a previous trauma. Radiographs are usually insufficient for the diagnosis and second level imaging modalities are required. In particular, magnetic resonance demonstrated the highest diagnostic accuracy. Treatment should aim to guarantee early mobilization and weightbearing, efficient pain relief and early discharge from the hospital to a proper facility for rehabilitation. Conservative treatment is reserved to non-displaced fractures with an adequate pain relief within one week allowing early mobilization. Otherwise, surgical treatment must be preferred. Nowadays, minimally invasive techniques, such as ileo-sacral screws or trans-sacral bar osteosynthesis, are safe and effective procedures and have overcome open procedures. In more complex patterns, with complete dissociation between the pelvic ring and the ilio-lumbar spine, spino-pelvic fixation is the procedure of choice.<\/jats:p>","DOI":"10.52965\/001c.38572","type":"journal-article","created":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T22:12:32Z","timestamp":1665612752000},"source":"Crossref","is-referenced-by-count":12,"title":["FRAGILITY FRACTURES OF THE SACRUM: A SILENT EPIDEMIC"],"prefix":"10.52965","volume":"14","author":[{"given":"Stefano","family":"Cattaneo","sequence":"first","affiliation":[{"name":"ASST Spedali Civili, Brescia, Italy","department":["Department of Bone and Joint Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Adriani","sequence":"additional","affiliation":[{"name":"University of Brescia, Brescia, Italy","department":["Department of Medical and Surgical Specialities, Radiological Sciences and Public Health"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Tonolini","sequence":"additional","affiliation":[{"name":"University of Brescia, Brescia, Italy","department":["Department of Medical and Surgical Specialities, Radiological Sciences and Public Health"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Oransky","sequence":"additional","affiliation":[{"name":"ASST Spedali Civili, Brescia, Italy","department":["Department of Bone and Joint Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Galante","sequence":"additional","affiliation":[{"name":"ASST Spedali Civili, Brescia, Italy","department":["Department of Bone and Joint Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Grava","sequence":"additional","affiliation":[{"name":"ASST Spedali Civili, Brescia, Italy","department":["Department of Bone and Joint Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Milano","sequence":"additional","affiliation":[{"name":"Department of Bone and Joint Surgery, ASST Spedali Civili, Brescia, Italy; Department of Medical and Surgical Specialities, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Casiraghi","sequence":"additional","affiliation":[{"name":"ASST Spedali Civili, Brescia, Italy","department":["Department of Bone and Joint Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2022,10,13]]},"reference":[{"issue":"11-12","key":"ref1","doi-asserted-by":"publisher","first-page":"1052","DOI":"10.1016\/s0899-9007(00)00430-5","article-title":"Osteoporosis with vertebral fractures associated with pregnancy and lactation","volume":"16","author":"Silvana Di Gregorio","year":"2000","journal-title":"Nutrition","ISSN":"https:\/\/id.crossref.org\/issn\/0899-9007","issn-type":"print"},{"issue":"4","key":"ref2","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1007\/s00068-014-0452-1","article-title":"Haemorrhage in fragility fractures of the pelvis","volume":"41","author":"S.-O. 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