Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Spine
Abstract number: 23703
SACRAL FRACTURE DISLOCATION OF SUICIDAL JUMPER
SangWook LEE, SangBong KO
Daegu Catholic University Medical Center, Daegu (KOREA)
Study design : A retrospective study Objectives : The author reviews 4 atypical cases
of sacral fracture composed with bilateral vertical fracture line at sacral alar area and
transverse fracture at upper sacrum with the relevant literature.Summary of Literature
review : Suicidal jumpers fracture has similar fracture pattern and clinical
manifestation. Material and Method : From August 2003 to March 2007, 4 patients.(
aged 23, 18, 25, 25 ) were selected who could be followed up for more than 2
years(24-48momths), they were managed surgically and conservatively.Result : The
neurological function of by Gibbsons neurologic classification, the first patient
managed surgically, had improved from grade 4 to 2 and walked without walking aid.
The second patient managed surgically, had not improved neurologically and walked
with one cane. The third patient who was managed with skeletal traction had
improved from grade 2 to grade 1 by Gibbons neurological classification and walked
with one cane. The last patient who was managed with bed rest only had not
improved neurologically and walked with two canes. Conclusion : Fracture dislocation
of upper sacrum is a very rare injury and has similar neurological symptom and
fracture pattern with that of Suicidal Jumpers Fracture. The injury is almost always
requires surgical intervention and is difficult to treat.
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