Sacral Insufficiency Fractures in Patients with Spinal Cord Injury: A Report of Two Unusual Cases and Review of Literature.

Objective: Sacral insufficiency fractures should be considered in differential diagnosis as a cause of autonomic dysreflexia and other vague symptoms in patients with spinal cord injury.

Setting: The Supra Regional Tertiary Centre, Midlands Centre for Spinal Injuries, Oswestry, UK.

Method: Outpatient clinic review of 2 patients with long-standing spinal cord injury presenting with vague symptoms of abdominal discomfort, and increased spasms including autonomic dysreflexia in which no evidence of causation was found on clinical examination.