Abstract
Spondylopelvic dissociation is a complex injury pattern resulting in multiplanar instability of the lumbopelvis. These injuries have traditionally been known as "suicide jumper's fractures" and have recently increased in prevalence as a result of under-vehicle explosions seen in the past decade of military conflicts in the Middle East. The hallmarks of spondylopelvic dissociation are bilateral vertical sacral fractures with a horizontal component, resulting in lumbosacral instability in the sagittal and axial planes. Surgical treatment has evolved greatly and both percutaneous and open options are available, with triangular osteosynthesis being the most relied on method of fixation.
Keywords:
Atypical sacral fracture; Lumbosacral dissociation; Polytrauma; Spinopelvic dissociation; Spondylopelvic dissociation; Transverse sacral fracture; Triangular osteosynthesis; U-type sacral fracture.
Copyright © 2014 Elsevier Inc. All rights reserved.
MeSH terms
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Bone Malalignment / etiology
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Bone Malalignment / physiopathology
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Bone Malalignment / prevention & control
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Decompression, Surgical / methods
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Disease Management
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Fracture Fixation, Internal* / adverse effects
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Fracture Fixation, Internal* / methods
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Humans
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Joint Instability* / etiology
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Joint Instability* / physiopathology
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Joint Instability* / prevention & control
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Lumbar Vertebrae / injuries
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Lumbar Vertebrae / pathology
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Lumbar Vertebrae / surgery
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Outcome Assessment, Health Care
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Pelvic Bones / injuries
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Pelvic Bones / pathology
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Pelvic Bones / surgery
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Radiculopathy / etiology
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Radiculopathy / physiopathology
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Radiculopathy / surgery
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Sacroiliac Joint* / diagnostic imaging
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Sacroiliac Joint* / physiopathology
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Sacrum* / injuries
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Sacrum* / pathology
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Sacrum* / surgery
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Spinal Fractures* / classification
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Spinal Fractures* / complications
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Spinal Fractures* / diagnosis
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Spinal Fractures* / surgery
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Tomography, X-Ray Computed
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Trauma Severity Indices