A Case of S1 Radiculopathy in Sacral Insufficiency Fracture without Fracture Line |
Hea Woon Park |
Department of Physical Medicine and Rehabilitation, Catholic University of Daegu College of Medicine, Daegu, Korea. hwprm@cu.ac.kr |
골절선 없는 천추 부전골절에서 발생한 제 1천수 신경근병증 1예 |
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Abstract |
Sacral insufficiency fractures are not uncommon cause of low back pain in elderly women with osteoporosis. The characteristics of sacral insufficiency fractures may not be related with neurological compromise. Their associated rate of neurological complication has been reported approximately 2%. The neurological complication, which is due to stretching or compression of nerve roots, is related with bony displacement. We present the case of an elderly women who developed S1 radiculopathy secondary to sacral insufficiency fracture with no evidence of fracture line. |
Key Words:
Sacral insufficiency fracture, Neurological complication, Radiculopathy |
초 록 |
골절선 없는 천추 부전골절에서 발생한 편측 제1천수 신경근 병변은 조영증강 자기공명 영상검사, 골수 확산강조 자기공명영상 검사 및 근전도 검사로 진단할 수 있었고, 이는 골막염증 반응에 의한 신경근염에 의한 것으로 여겨지며, 제1 천수 신경근 스테로이드 주사를 포함한 보존적 치료에 대한 반응은 양호하였다. |
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