Sacral Stress Fracture
Sacral Stress Fracture
(Spondylolysis of the Sacrum; Fracture, Sacral Stress)
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- Vigorous physical activities
- Repeated physical stress, especially involving back movements
- Conditions that affect bone density
- Long-distance runner
- Certain sports: gymnastics, football, track and field, and other high-impact sports
- Recent change in physical routine, particularly more intensive workout
- Weight-bearing activities: weight lifting, military training
- History of osteoporosis
- Diagnosis of low bone mineral density—low bone density indicates more bone loss than bone growth
- Radiation therapy
- History of Paget’s disease , hyperparathyroidism , osteopenia, or rheumatoid arthritis
- Female athlete who has missed periods
- Adolescents with incomplete bone growth
- Severe pain to lower back, hip, or pelvis
- Pain to buttocks or groin
- Increase in pain during your workout
- Lower back tenderness when touched
- Swelling at lower back
- X-ray of your lower back—test that uses radiation to take a picture; used to view any small cracks in the sacral bone
- Carefully plan your exercise routine. Make gradual changes in intensity.
- Practice good nutrition for bone health. This includes adequate amounts of calcium and vitamin D.
- Use proper equipment when exercising including supportive footwear .
- Talk to your doctor about how to prevent osteoporosis.
American Academy of Orthopaedic Surgeons http://www.aaos.org/
American Orthopaedic Society for Sports Medicine http://www.aossm.org/
Canadian Orthopaedic Association http://www.coa-aco.org/
Canadian Orthopaedic Foundation http://www.canorth.org/
Hosey RG, et al . Evaluation and Management of Stress Fractures of the Pelvis and Sacrum. Orthopedics . 2008; 31:383.
Lin JT, Lane JM. Sacral stress fractures. Journal of Women’s Health . 2003;12(9):879-888.
Low back pain fact sheet. National Institute of Neurological Disorders and Stroke website. Available at: http://www.ninds.nih.gov/disorders/backpain/detail%5Fbackpain.htm . Accessed October 23, 2008.
Micheli LJ, Curtis C. Stress Fractures in the Spine and Sacrum. Clinics in Sports Medicine . Jan 2006;25(1).
Spondylolysis and spondylolisthesis. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00053 . Accessed October 23, 2008.
Stress fractures. MayoClinic website. Available at: http://www.mayoclinic.com/print/stress-fractures/DS00556/DSECTION=all&METHOD=print . Accessed October 23, 2008.
Zaman FM. Sacral stress fractures. Curr Sports Med Rep . 2006;5(1):37-43.
- Reviewer: John C. Keel, MD
- Review Date: 09/2012 -
- Update Date: 00/92/2012 -