• Charles H. Cho
  • John M. Mathis
  • Keith E. Kortman


An elderly, postmenopausal female with multiple underlying medical conditions complains of nonradiating, aching pain in the lower back and sacral area after a mild fall. Preliminary radiographs of the lumber spine show no lumbar compression fractures. The patient is managed conservatively with analgesics and bed rest. One month later, the patient continues to have nonradiating pain, and an MRI of the sacrum shows vertical nondisplaced sacral fractures. Mobility is significantly limited, and there is a component of altered mental status with higher doses of pain medications. The patient has severe osteoporosis and is not considered a candidate for open surgery.


Puncture Site Insufficiency Fracture Percutaneous Vertebroplasty Compute Tomography Guidance Sacral Fracture 
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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Charles H. Cho
    • 1
  • John M. Mathis
    • 2
  • Keith E. Kortman
    • 3
  1. 1.Department of RadiologyBrigham and Women’s Hospital, Harvard Medical SchoolBostonUSA
  2. 2.Center for Advanced ImagingRoanokeUSA
  3. 3.Department of RadiologySharp Memorial HospitalDel MarUSA

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