J Korean Soc Spine Surg. 2008 Dec;15(4):281-285. Korean.
Published online Dec 31, 2008.
Copyright © 2008 Korean Society of Spine Surgery
Case Report

Sacral Fracture Dislocation of Suicidal Jumper (Suicidal Jumper's Fracture) - 4 Cases Report -

Sang-Wook Lee, M.D., Sang-Bong Ko, M.D., and Dong-Young Shin, M.D.
    • Department of Orthopaedic Surgery, Daegu Catholic University Hospital, Daegu, Korea.

Abstract

Displaced fractures of the upper sacrum are a rare type of high energy injury, such as a fall, with similar neurological symptoms and fracture patterns. The authors treated 4 patients with these fracture patterns surgically or conservatively and followed them up for at least 1 year. We report these 4 cases with a review of the relevant literature.

Keywords
Sacral spine; Fracture; Suicidal jumper's fracture

Figures

Fig. 1
First case images of Suicidal jumpe's fracture. (A) Simple preoperative radiograms show upper sacral displaced fracture. (B) Sagittal and axial preoperative CT scan shows type 3 upper sacral fracture and rotated proximal portion posteriorly without bony contact. (C) Simple postoperative radiograms show reduced fracture and fixed with unilateral plate.

Fig. 2
Second case images of Suicidal jumpe's fracture. (A) Preoperative simple lateral radiogram and sagittal CT scan show type 3 upper sacral fracture without bony contact. (B) Postoperative simple AP and lateral radiogram show reduced fracture and fixed with bilateral plates. (C) Simple AP and lateral radiograms show implant removed malunited sacrum due to infection 2 months later postoperatively.

Tables

Table 1
Profile, Diagnosis, Classification, Treatment and Prognosis of 4 cases.

References

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    1. Herron LD, Williams RC. Fracture-Dislocation of the Lumbosacral Spine. Report of a case and review of the literature. Clin Orthop Relat Res 1984;186:205–211.
    1. Bucknill TM, Blackburn JS. Fracture Dislocation of the Sacrum. Report of three cases. J Bone Joint Surg Br 1976;58:476–470.
    1. Reynier Y, Grisoli F, Delarque A, Vigouroux RP. Fracture Dislocation of the Sacral Spine with Cauda Equina Lesion. Report of two cases (Aurhor's transl). Neurochirurgie 1982;28:25–32.
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    1. Denis F, Davis S, Comfort T. Sacral Fractures: An important Problem. Retrospective Analysis of 236 cases. Clin Orthop 1988;227:67–81.
    1. Strange-Vognsen HH, Lebech A. An Unusual Type of Fracture in the Upper Sacrum. J Orthop Tauma 1991;5:200–203.
    1. Gibbons KJ, Solonluk DS, Razack N. Neurological Injury and Patterns of Sacral Fractures. J Neurosurg 1990;72:889–893.
    1. Nork SE, Jones CB, Harding SP, Mirza SK, Routt ML Jr. Percutaneous Stabilization of U Shaped Sacral Fractures using Iliosacral Screws; Technique and Early Results. J Orthop Trauma 2001;15:238–246.

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