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Ko, Shin, and Lee: Sacral Fracture Dislocation of Suicidal Jumper (Suicidal Jumper's Fracture) - 4 Cases Report -
Case Report

Journal of Korean Spine Surg 2008;15(4):281-285.

Published online: 18 January 2008

DOI: https://doi.org/10.7469/JKSS.2008.15.4.281

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

Sang-Bong Ko, M.D., Dong-Young Shin, M.D., Sang-Wook Lee, M.D.

Department of Orthopaedic Surgery, Daegu Catholic University Hospital, Daegu, Korea

Address reprint requests to Sang-Bong Ko, M.D. 3056-6, DaeMyung 4-dong, Namgu, Daegu, Korea Daegu Catholic University Tel: 82-53-650-4283, Fax: 82-53-626-4272, E-mail: bong@cu.ac.kr

Copyright © 2008 Korean Society of Spine Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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

REFERENCES

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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.
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09). Gibbons KJ., Solonluk DS., Razack N. Neurological Injury and Patterns of Sacral Fractures. J Neurosurg. 1990. 72:889–893.
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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.
jkss-15-281f1.tif
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.
jkss-15-281f2.tif
Table 1.
Profile, Diagnosis, Classification, Treatment and Prognosis of 4 cases.
  Mechanism Sex/Age Underlying Disease Neurological Stage Fx Class Treatment Associated injury (Fx.) Complication Recovery Neurological
1 S-J F/23 No 4 3 ORIF with unilateral plate L5 TP Superficial Infection 2
2 S-J F/17 Schizo-phrenia 4 3 ORIF with bilateral plate Calcaneus infectioin Deep 4
3 S-J F/25 No 2 2 Skeletal Traction L5 TP L/E. Calcaneus Malunion 1
4 S-J F/25 Depression 2 4 Bed rest U/E, L/E Pelvis L5 TP Malunioin 2

S-J: Suicidal Jumpe's Injury; Fx.: Fracture; Class : Classification; ORIF : Open Reduction and Internal Fixation; L5 TP : L5 Transverse process Fracture; L/E : Lower Extremity; U/E : Upper Extremity; Neurological Stage and Recovery classified with Gibbons et al.; Fracture classified with Denis classification, Roy-Camille Subclassification modified by Strange-Vognsen and Lebech.

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