Outcomes of lumbosacral fixation in patients with suicidal jumper's fractures: A retrospective study from a single center in Turkey

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dc.authorid0000-0002-7814-822Xen_US
dc.authorid0000-0001-6188-5867en_US
dc.authorid0000-0003-3270-1648en_US
dc.authorid0000-0003-0645-2086en_US
dc.authorid0000-0001-5782-4842en_US
dc.authorid0000-0003-1293-4436en_US
dc.authorid0000-0002-9316-448Xen_US
dc.contributor.authorAtiç, Ramazan
dc.contributor.authorAlemdar, Celil
dc.contributor.authorUlus, Sait Anıl
dc.contributor.authorYazar, Cihan
dc.contributor.authorDurgut, Fatih
dc.contributor.authorSayar, Şafak
dc.contributor.authorAydın, Abdulkadir
dc.date.accessioned2024-02-27T13:28:46Z
dc.date.available2024-02-27T13:28:46Z
dc.date.issued2023en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.description.abstractBackground: 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.en_US
dc.identifier.citationAtiç, 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.en_US
dc.identifier.doi10.12659/MSM.942831
dc.identifier.endpage9en_US
dc.identifier.issn1234-1010
dc.identifier.pmid38225811
dc.identifier.scopus2-s2.0-85179490458
dc.identifier.scopusqualityQ1
dc.identifier.startpage1en_US
dc.identifier.urihttps://medscimonit.com/abstract/index/idArt/942831
dc.identifier.urihttps://hdl.handle.net/11468/13405
dc.identifier.volume30en_US
dc.identifier.wosWOS:001182263400001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAtiç, Ramazan
dc.institutionauthorYazar, Cihan
dc.language.isoenen_US
dc.publisherInternational Scientific Information, Inc.en_US
dc.relation.ispartofMedical Science Monitor
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDecompressionen_US
dc.subjectLumbosacral regionen_US
dc.subjectSacrumen_US
dc.subjectSpinal fracturesen_US
dc.titleOutcomes of lumbosacral fixation in patients with suicidal jumper's fractures: A retrospective study from a single center in Turkeyen_US
dc.titleOutcomes of lumbosacral fixation in patients with suicidal jumper's fractures: A retrospective study from a single center in Turkey
dc.typeArticleen_US

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