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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. 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. Methods & Materials Four hundred eighty-six patients’ lumbar spine MR studies utilizing varying protocols of were independently reviewed by three radiologists. D., Non ASSR Member Poster Purpose To determine the incidence of missed sacral insufficiency fractures (SIFs) on lumbar spine MR studies. SIFs were diagnosed in patients who demonstrated edema and/or fracture lines parallel to the SI joint. Dasgupta B, Shah N, Brown H, Gordon TE, Tanqueray AB, Mellor JA. 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