Kim et al identified risk factors for a sacral insufficiency fracture complication chemoradiation for a rectal carcinoma. The authors are from Washington University in St. Louis.
Patient selection: chemoradiation for rectal carcinoma
Presentation: sacral pain
Risk factors for sacral insufficiency fracture:
(1) age >= 60 years
(2) female sex
(3) history of (or reason to suspect) osteoporosis
The diagnosis is supported by:
(1) imaging studies
(2) exclusion of alternative diagnosis (tumor recurrence, infection, etc)
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