Open reduction and posterior instrumentation of Type 3 high transverse sacral fracture-dislocation

Starantzis, Konstantinos; Mirzashahi, Babak; Behrbalk, Eyal; Sadat, M M; Shafafy, Masood

doi:10.3171/2014.4.spine13835

Cited by 5 publications

(4 citation statements)

References 25 publications

(21 reference statements)

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“…The characteristics of the patients included in this review as well as those concerning our four patients are summarized in Table 1 . [ 1 3 7 9 10 11 12 13 14 ]…”

Section: Methodsmentioning

confidence: 99%

Roy-Camille Type 3 suicidal jumper's fractures

Umana¹,

Teli²,

Chaurasia³

et al. 2021

Journal of Craniovertebral Junction and Spine

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Background: Roy-Camille reported only three patients in their Type 3 posttraumatic transverse sacral fracture (TSF) classification. A modified Roy-Camille classification has been already proposed by other authors suggesting further categorization of the TSFs as partially displaced or completely displaced to predict the rate of neurological recovery following lumbopelvic fixation. Materials and Methods: We reported three adult cases of surgical fixation of fracture–dislocation (3A and 3B) of the sacrum due to traumatic injuries and submitted to lumbopelvic posterior reconstruction. A case of a 15-year-old male patient affected by Type 3C with vascular pelvic injury was also reported. A comprehensive literature search was performed on evaluation and management of Type 3 TSFs. Results: In Type 3A, there is a minimal anterior dislocation and the reduction is feasible with good chance of recovery. In Type 3B, the anterior dislocation is severe, neurological deficits are present, reduction is difficult, and there is a risk of vascular injury both at the trauma and during the surgical reduction. In Type 3C, the anterior dislocation is massive, and the risk of vascular injury is very high requiring prompt vascular or endovascular treatment. Open reduction and posterior instrumentation are technically feasible in patients affected by Type 3 high TSFs. Conclusions: In our opinion, a modified Roy-Camille classification could be useful in the assessment of prognostic and therapeutic aspects of such fractures, In our opinion, a modified Roy-Camille classification could help assess the prognostic and therapeutic aspects of such fractures, in which the severity of the dislocation affects the surgical technique, the chance of neurological recovery, and the patient's life expectancy.

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“…The characteristics of the patients included in this review as well as those concerning our four patients are summarized in Table 1 . [ 1 3 7 9 10 11 12 13 14 ]…”

Section: Methodsmentioning

confidence: 99%

Roy-Camille Type 3 suicidal jumper's fractures

Umana¹,

Teli²,

Chaurasia³

et al. 2021

Journal of Craniovertebral Junction and Spine

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“…The applied technique is a modification of the procedure used in the study by Staranzis et al [3]. The lumbosacral transition and laminectomy of the sacrum is performed in a prone position with inflected hip and knee joints.…”

Section: Surgical Techniquementioning

confidence: 99%

“…Currently, there are only a few case reports which deals with a reproducible fixation technique and all describe different reduction maneuvers to correct the malposition [2][3][4]. In comparison, to the authors' knowledge, there is only one study with a greater patient collective in which spinopelvic dissociation is investigated, whereby the focus of this work is not primarily on the surgical technique itself [5].…”

Section: Introductionmentioning

confidence: 99%

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Jumper’s fracture of the sacrum: a novel and reproducible way for successful reduction and fixation

et al. 2021

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Purpose Surgical treatment of jumper’s fractures is a highly demanding situation for the surgeon due to its rareness and frequent association with severe concomitant injuries. There is no current consensus regarding a standard treatment approach, thus reducing quality of care. Our objectives were to describe, apply and assess a novel surgical technic. Methods The presented research is an observational retrospective study of patients who underwent the described novel surgical intervention in a level 1 trauma center. We conducted analyses of the patient cohort using patient-related outcome measures at least 1 year after surgery, as well as investigating pain, quality of life and the clinical effectiveness of the procedure. Results A total of 24 patients (17 male and 7 female) with an average age 47 ± 16.3 years were included. ISS scores ranged from 9 to 66 with a mean ISS of 40 ± 15. Clinical scores exist of 15 out of 24 patients (62.5%). The mean VAS score was 53.7 ± 12.9. The mean EQ-5D index was 0.68 ± 0.22. Significant negative correlation existed between the ISS value and the EQ-5D index (r = − 0.704; p < 0.005) and EQ-5D VAS (r = − 0.809; p < 0.001). Anatomical reduction was achieved in all patients (n = 24). Radiological follow-up was performed in 58%. Conclusion We present one of the largest studies with operatively treated jumper’s fractures of the sacrum. The technique is capable of reproducibly restoring the physiological anatomy of the patient and allows pain-adapted mobilization.

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Lumbopelvic Fixation

Lindahl¹,

Gänsslen²

2020

Pelvic Ring Fractures

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Open reduction and posterior instrumentation of Type 3 high transverse sacral fracture-dislocation

Cited by 5 publications

References 25 publications

Roy-Camille Type 3 suicidal jumper's fractures

Roy-Camille Type 3 suicidal jumper's fractures

Jumper’s fracture of the sacrum: a novel and reproducible way for successful reduction and fixation

Lumbopelvic Fixation

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