Sacral Stress Fracture in Pregnancy: Case Report and Review of Literature

• Published in: Turkish journal of osteoporosis 2020-08, Vol.26 (2), p.139-142
• Main Authors: Sucuoğlu, Hamza, Aktürk, Adem
• Format: Article
• Language: English
• Subjects: Analgesics; Bone density; Breastfeeding & lactation; Case reports; Cesarean section; Edema; Etiology; Fractures; Gait; hip; lumbar; Magnetic resonance imaging; Older people; Osteoporosis; Pain; Patients; Postpartum period; Pregnancy; pregnancy-related osteoporosis; Risk factors; sacral stress fracture; Vagina; Vitamin D; Vitamin deficiency; Walking; Womens health
• ISSN: 2146-3816; 2147-2653; 2147-2653
• DOI: 10.4274/tod.galenos.2020.05657

Sacral stress fractures (SSF) are one of the rare causes of lumbar and hip pain during pregnancy. The purpose of this report is to present a case of SSF diagnosed in the second trimester of pregnancy along with its diagnosis and treatment as wells as the type of birth. A 27-year-old primigravid patient presented with lumbar and hip pain at 25 weeks of gestation. Magnetic resonance imaging revealed SSF. The patient was followed up with conservative treatment. She gave birth by caesarean section at 38 weeks of gestation. Bone mineral density analysis revealed pregnancy-related osteoporosis in the postpartum period. Two months later, the patient’s symptoms were completely resolved. SSF should be considered in the differential diagnosis of lumbar and hip pain during pregnancy, and it should be kept in mind that these fractures may also occur in the prepartum period. Pregnancy-related osteoporosis is a risk factor for SSF. Caesarean section can be recommended as the type of birth in the women with SSF while considering the possible displacement risk for the fracture.