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  • Title: Sacral insufficiency fracture after pelvic radiotherapy: a diagnostic challenge for a radiologist.
    Author: Lapina O, Tiškevičius S.
    Journal: Medicina (Kaunas); 2014; 50(4):249-54. PubMed ID: 25458963.
    Abstract:
    Sacral insufficiency fractures can occur as a complication after pelvic radiotherapy. Despite several recent studies showing high incidence of sacral insufficiency fractures in elderly women after pelvic radiotherapy this condition still remains underdiagnosed. We present a case of sudden onset of low back pain in a female patient with a history of cervical cancer radiotherapy. Initial diagnostic imaging misinterpreted SIF for metastasis. Bone scan and single-photon emission-computed tomography with low-dose computed tomography revealed the correct diagnosis. Due to the reasons that sacral insufficiency fractures still remain underdiagnosed this report is important to practical routine work of oncologists and radiologists.
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