A revista einstein (São Paulo) - e-ISSN 2317-6385 é dedicada à divulgação de conteúdo científico de alta qualidade para o avanço da nossa compreensão das doenças humanas e com o objetivo de melhorar a prevenção, o cuidado, o diagnóstico e o tratamento de pacientes em todo o mundo.
Stress fractures of the sacrum are extremely rare differential diagnoses for persistent low back pain in pregnant and postpartum women. The common occurrence of low back pain due to mechanical overload on the spine, coupled with challenges in obtaining imaging studies during this phase of a woman’s life, often delays and compromises the accurate diagnosis of sacral fatigue fractures. We report the rare case of a postpartum patient who underwent surgery for lumbar disc herniation one year and one month earlier and was diagnosed with an atraumatic sacral fracture.
Atraumatic sacral fracture in a postpartum patient in the late postoperative period following lumbar decompression for disc herniation
Valesin FilhoES, GomesMTV, PajanotiGP, AquinoAFW, LenzaM, RodriguesLMR. Atraumatic sacral fracture in a postpartum patient in the late postoperative period following lumbar decompression for disc herniation. einstein (Sao Paulo). 2025;23:eRC1630. https://doi.org/10.31744/einstein_journal/2025RC1630
Valesin Filho,Edgar Santiago; Gomes,Mariano Tamura Vieira; Pajanoti,Guilherme Pianowski; Aquino,Ariel Filipe Wuerges de; Lenza,Mario; Rodrigues,Luciano Miller Reis. Atraumatic sacral fracture in a postpartum patient in the late postoperative period following lumbar decompression for disc herniation. einstein (Sao Paulo)., v. 23, eRC1630, out. 2025. https://doi.org/10.31744/einstein_journal/2025RC1630
Valesin Filho,E.S., Gomes,M.T.V., Pajanoti,G.P., Aquino,A.F.W. , Lenza,M., & Rodrigues,L.M.R. (2025). Atraumatic sacral fracture in a postpartum patient in the late postoperative period following lumbar decompression for disc herniation. einstein (Sao Paulo).,23, eRC1630. https://doi.org/10.31744/einstein_journal/2025RC1630
Valesin Filho,Edgar Santiago and Gomes,Mariano Tamura Vieira and Pajanoti,Guilherme Pianowski and Aquino,Ariel Filipe Wuerges de and Lenza,Mario and Rodrigues,Luciano Miller Reis. Atraumatic sacral fracture in a postpartum patient in the late postoperative period following lumbar decompression for disc herniation. einstein (Sao Paulo). [online]. 2025, vol. 23, [cited 2025-11-02], eRC1630. Available from: <https://journal.einstein.br/pt-br/article/atraumatic-sacral-fracture-in-a-postpartum-patient-in-the-late-postoperative-period-following-lumbar-decompression-for-disc-herniation/>. ISSN 1679-4508. https://doi.org/10.31744/einstein_journal/2025RC1630
Figure 4
Axial T1, axial T2 with fat suppression, and coronal T2 with fat suppression MRI images showing an incomplete vertical fracture line without displacement on the anterior aspect of the right sacral ala, surrounded by mild bone edema, indicative of a subacute stress reaction
Axial T1, axial T2 with fat suppression, and coronal T2 with fat suppression MRI images showing an incomplete vertical fracture line without displacement on the anterior aspect of the right sacral ala, surrounded by mild bone edema, indicative of a subacute stress reaction