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Purpose: Sacral stress fractures are rare complications which can arise during pregnancy or in the early postpartum period. We report a case and discuss the findings of a confirmed postpartum sacral stress fracture in a 39-year-old multiparous woman and review previous case reports in the literature of sacral stress fracture related to pregnancy. Methods: A review of the literature was conducted to examine the main characteristics of sacral stress fractures related to pregnancy. The Ovid/Medline, Embase and Google Scholar databases were searched with the inclusion criteria: human studies, English language, intrapartum, postpartum (within 6 months of parturition), sacrum and stress fracture. Our exclusion criteria included pubic fractures, vertebral fractures and non-English articles. The search terms included "stress fracture", "postpartum", "pregnancy", "atraumatic" and the wildcard "sacr*". Thirty-four cases were found and summarised in Table 2. Results: A total of 65% of patients had onset of symptoms postpartum. Most patients did not have risk factors for sacral stress fractures including macrosomia, excessive pregnancy weight gain, heparin exposure, rapid vaginal delivery or predisposition to accelerated osteoporosis. Lumbar radiculopathy can be a feature of sacral stress fracture and it is more common (17.6%) than reported in the literature (2%). MRI is the preferred imaging modality for its safety profile in pregnancy and high sensitivity. A total of 70% reported normal bone mineral density (BMD). The mainstay treatment for sacral stress fractures includes relative bed rest, analgesia and modified weight-bearing exercises. Most patients have favourable outcome with complete symptom resolution. Conclusion: Sacral stress fractures in the absence of osteoporosis are rare complications of pregnancy that can present with lumbar radiculopathy. Conservative management often produces good clinical outcomes. [ABSTRACT FROM AUTHOR]

The effect of the NO3- anion on the corrosion of carbon steel in a solution of 0.1M NH4Cl (pH 5.5) was studied by galvanostatic polarization and Mössbauer spectrometry. The anion has an inhibiting effect by decreasing the expansion rate of generalized corrosion of carbon steel in a solution of 0.1M NH4Cl. Mössbauer spectroscopy shows that a superficial compound is formed on the electrode surface as a result of corrosion, presenting no magnetic ordering. Its parameters show the initial stage of corrosion. We assume that at this stage the main corrosion product is a mixture of ferrihydrite Fe(III) and FeOOH (α and/or γ). [ABSTRACT FROM AUTHOR]