Outcomes of lumbosacral fixation in patients with suicidal jumper's fractures: A retrospective study from a single center in Turkey
Yükleniyor...
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
International Scientific Information, Inc.
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background: Suicide attempts that involve jumping from a great height may not be fatal but can result in lumbosacral facture-dislocations. This retrospective study aimed to present the experience from a single center in Turkey of 21 patients with lumbosacral facture-dislocations, or suicidal jumper fractures, treated with lumbosacral fixation between 2015 and 2022. Material/Methods: The study included 21 patients. The diagnosis was established through X-ray and computed tomography (CT) examinations. Neurological damage was assessed using the Gibbons score. Among the patients, 2 were classified as Roy-Camille type 1, 12 as Roy-Camille type 2, and 7 as Roy-Camille type 3. Morphologically, 8 patients had H-type fractures, 7 had T-type fractures, and 6 had U-type fractures. Bilateral spinopelvic fixation was performed. Functional outcomes were evaluated using the Majeed score. Results: The average Injury Severity Score (ISS) was 31.6±12.2. The mean duration of surgery was 123.6±44.9 minutes. According to the Majeed score, excellent results were observed in 8 individuals (40%), good results in 5 individuals (25%), fair results in 5 individuals (25%), and poor results in 2 individuals (10%). Out of 18 patients with neurological deficits, 14 showed improvement after surgery, while 4 continued to experience deficits. Conclusions: The findings from this study highlight the importance of obtaining a clear history of the cause of lumbosacral facture-dislocation, as attempted suicide by jumping from a height can cause specific types of injury to the lumbar spine and sacrum that require rapid diagnosis and management to reduce the incidence of permanent paraplegia.
Açıklama
Anahtar Kelimeler
Decompression, Lumbosacral region, Sacrum, Spinal fractures
Kaynak
Medical Science Monitor
WoS Q Değeri
N/A
Scopus Q Değeri
Q1
Cilt
30
Sayı
Künye
Atiç, R., Alemdar, C., Ulus, S. A., Yazar, C., Durgut, F., Sayar, Ş. ve diğerleri. (2023). Outcomes of lumbosacral fixation in patients with suicidal jumper's fractures: A retrospective study from a single center in Turkey. Medical Science Monitor, 30, 1-9.
