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. 2015 May;23(2):84–92. doi: 10.1179/2042618613Y.0000000055

Table 1. Prevalence of risk factors for developing sacral insufficiency fractures.

Risk factor Sacral insufficiency fracture
Osteoporosis 100% (36/36)
Pelvic radiation therapy 100% (18/18)
Rheumatoid arthritis 100% (12/12)
Long-term corticosteroid therapy 100% (12/12)
Postmenopausal 100% (7/7)
Thoracolumbosacral/lumbosacral fusion 100% (5/5)
Osteopenia 100% (4/4)
Hx or present spondylosis/spondylolisthesis 100% (4/4)
Hypothyroidism 100% (4/4)
High body mass index (BMI) indicating obesity/obese 100% (4/4)
Polymyalgia rheumatica 100% (3/3)
Liver transplantation 100% (3/3)
Lung transplantation 100% (3/3)
Sacral Tarlov cyst 100% (2/2)
Heart and lung transplantation 100% (1/1)
Scoliosis 100% (1/1)
Increased lumbar lordosis 100% (1/1)
High BMI indicating overweight/overweight 100% (1/1)
Eating disorder 100% (1/1)
Corticosteroid therapy 92.3% (12/13)
High alkaline phosphatase level 90% (9/10)
Low bone mineral density (BMD) 83.3% (5/6)
Smoker 75% (3/4)
Elderly female 74.3% (75/101)
Vitamin D deficiency 57.1% (4/7)
Low serum calcium level 12.5% (1/8)
Low serum phosphorus level 0% (0/7)
Malabsorption 0% (0/3)
Recent increase in activity 0% (0/1)
Osseous metastases 0% (0/1)
Hx of stress fractures 0% (0/1)

Not all studies evaluated each risk factor; thus, the total values in parentheses represent the numerator (risk factor present) over the denominator (risk factor evaluated) within the total number of studies included in the investigation.