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To determine the incidence of missed sacral insufficiency fractures (SIFs) on lumbar spine MR studies.

Methods & Materials

Four hundred eighty-six patients' lumbar spine MR studies utilizing varying protocols of were independently reviewed by three radiologists. Where can i find Phenergan online, Patients had either had a history of vertebroplasty/kyphoplasty at our institution or were being evaluated specifically for a vertebral compression fracture utilizing our vertebroplasty protocol. Our original vertebroplasty protocol consisted of sagittal T1-weighted and sagittal STIR images through the thoracolumbar spine and was later modified to also include coronal oblique STIR images through the sacrum, Phenergan samples. Phenergan coupon, Some of the studies in both protocols also included axial T1- and T2-weighted images to at least the S2 level. SIFs were diagnosed in patients who demonstrated edema and/or fracture lines parallel to the SI joint.


Forty-three fractures were discovered retrospectively in twenty-seven patients, buy Phenergan online cod, Buy no prescription Phenergan online, and twenty-two of the forty-three fractures were overlooked on initial interpretation. Bilateral SIFs were suspected in two additional patients but could not be confirmed, buy Phenergan without prescription. Fifteen of fifteen fractures were missed in patients who underwent the original vertebroplasty protocol, order Phenergan online c.o.d. Phenergan over the counter, Nine of nineteen fractures were overlooked when axial T1- and T2-weighted images were available, and two of eleven fractures were overlooked when the modified vertebroplasty protocol was utilized.


A large portion of SIFs are missed on lumbar spine MR studies, buy Phenergan no prescription, Buy Phenergan online cod, although the addition of a coronal oblique STIR sequence through the sacrum improves the detection rate.

References/Financial Disclosures

REFERENCES1. Lourie H, buy cheap Phenergan. Buy Phenergan without a prescription, Spontaneous osteoporotic fracture of the sacrum: An unrecognized syndrome of the elderly. Buy Phenergan without prescription, JAMA 1982; 248(6):715-717

2. Kannus P, online buying Phenergan hcl, Buy Phenergan online no prescription, Palvanen M, Parkkari J, purchase Phenergan online no prescription, Canada, mexico, india, Niemi S, Jarvinen M, order Phenergan no prescription. Purchase Phenergan online, Osteoporotic pelvic fractures in elderly women. Osteopor Int 2005; 16:1304-1305

3, Phenergan from canadian pharmacy. Phenergan coupon, Schindler OS, Watura R, order Phenergan online overnight delivery no prescription, Buy Phenergan from canada, Cobby M. Sacral insufficiency fractures, buy Phenergan without prescription. J Orthop Surg 2007;15(3):339-346

4, where can i buy cheapest Phenergan online. Order Phenergan online c.o.d, Dasgupta B, Shah N, buy Phenergan from mexico, Australia, uk, us, usa, Brown H, Gordon TE, japan, craiglist, ebay, overseas, paypal, Where can i find Phenergan online, Tanqueray AB, Mellor JA, order Phenergan from mexican pharmacy. Buy cheap Phenergan no rx, Sacral insufficiency fractures: an unsuspected cause of low back pain. Br J Rheumatol 1998; 37:789â .

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