Abstract
The indication for a transiliac internal fixator is the sacral insufficiency fracture, which leads to immobility of the patient despite adequate analgesia. The sacral insufficiency fracture was first described by Lourie in 1982. In the coming years, it is expected that there will be a further increase in the prevalence of sacral insufficiency fractures. This is due to the demographic development with an increase in the elderly population over 60 years. Already in 2013, there are about 21.9 million people over 60 years old in Germany, and in 2050 this will be 28.6 million according to the Federal Statistical Office. The number of people over 80 will increase from 4.4 million in 2013 to 9.9 million in 2050. Due to existing comorbidities, the frequent presence of osteoporosis and increasingly better diagnostics, there will be an increase in sacral insufficiency fractures.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Cabarrus MC, Ambekar A, Lu Y et al (2008) MRI and CT of insufficiency fractures of the pelvis and the proximal femur. Am J Roentgenol 191:995–1001
Finiels H, Finiels P, Jaquot J et al (1997) [Fractures of the sacrum caused by bone insufficiency. Meta-analysis of 508 cases]. Presse Med (Paris, France: 1983) 26:1568–1573
Fujii M, Abe K, Hayashi K et al (2005) Honda sign and variants in patients suspected of having a sacral insufficiency fracture. Clin Nucl Med 30:165–169
Gotis-Graham I, McGuigan L, Diamond T et al (1994) Sacral insufficiency fractures in the elderly. J Bone Joint Surg Br 76:882–886
Kandziora F, Yildiz U (2017) Sakruminsuffizienzfrakturen: operativ/konservativ. Die Wirbelsäule 1:41–50. https://doi.org/10.1055/s-0043-102582
Ries T (1983) Detection of osteoporotic sacral fractures with radionuclides. Radiology 146:783–785
Schneider R, Yacovone J, Ghelmann B (1985) Unsuspected sacral fractures: detection by radionuclide bone scanning. Am J Roentgenol 144:337–341
Statistisches Bundesamt (2015) Bevölkerung Deutschlands bis 2060. 13 koordinierte Bevölkerungsvorausberechnung. Broschüre des Statistischen Bundesamtes, Wiesbaden
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 Springer-Verlag GmbH Germany, part of Springer Nature
About this chapter
Cite this chapter
Herwig, M. (2023). Transiliac Internal Fixator. In: Jerosch, J. (eds) Minimally Invasive Spine Intervention. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63814-9_28
Download citation
DOI: https://doi.org/10.1007/978-3-662-63814-9_28
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-63813-2
Online ISBN: 978-3-662-63814-9
eBook Packages: MedicineMedicine (R0)