J Korean Soc Spine Surg.  2008 Dec;15(4):281-285. 10.4184/jkss.2008.15.4.281.

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

Affiliations
  • 1Department of Orthopaedic Surgery, Daegu Catholic University Hospital, Daegu, Korea. bong@cu.ac.kr

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.

Keyword

Sacral spine; Fracture; Suicidal jumper's fracture

MeSH Terms

Dislocations
Humans
Sacrum

Figure

  • Fig. 1. First case images of Suicidal jumper'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 jumper'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.


Reference

01). Vaccaro AR., Kim DH., Brodke DS, et al. Diagnosis and Management of Sacral Spine Fractures. Instr Course Lect. 2004. 53:375–385.
Article
02). Roy-Camille R., Saillant G., Gagna G., Mazel C. Transverse Fractures of the Upper Sacrum-Suicidal Jumper's Fracture. Spine. 1985. 10:838–845.
03). 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.
04). Bucknill TM., Blackburn JS. Fracture Dislocation of the Sacrum. Report of three cases. J Bone Joint Surg. Br. 1976. 58:476–470.
05). 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), Neu-rochirurgie,. 1982. 28:25–32.
06). Richter D., Hahn MP., Ostermann PAW., Ekkernkamp A., Muhr G. Vertical Deceleration Injuries: A Comparative Study of the Injury Patterns of 101 Patients after Accidental and Intentional High Falls. Injury. 1996. 27:955–659.
Article
07). Denis F., Davis S., Comfort T. Sacral Fractures: An important Problem. Retrospective Analysis of 236 cases. Clin Orthop. 1988. 227:67–81.
08). Strange-Vognsen HH., Lebech A. An Unusual Type of Fracture in the Upper Sacrum. J Orthop Tauma. 1991. 5:200–203.
Article
09). Gibbons KJ., Solonluk DS., Razack N. Neurological Injury and Patterns of Sacral Fractures. J Neurosurg. 1990. 72:889–893.
Article
10). 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.
Full Text Links
  • JKSS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr