{"title":"腰骨盆固定治疗自杀性跳楼骨折9例报告","authors":"Li-Jun Li, Xiaobo Dong, Xiaochen Sun, Jian-ye Jia","doi":"10.2485/JHTB.30.205","DOIUrl":null,"url":null,"abstract":": To discuss the characteristics of Suicidal Jumper Fractures (SJF) and evaluate clinical outcomes treated with lumbopelvic fixation. From August 2007 to August 2012, nine consecutive cases with SJF were included into the study. The clinical data of these cases including fracture classifications, associated injuries and the degrees of neurological impairment were analyzed and assessed preoperatively. All cases were followed-up continuously after an average of 42 ± 4.54 months (range: 34-90 months). All fractures healed after 5 ± 1.53 months (range: 3-11 months). None of these cases had fracture re-displacement and fixation failure. Based on the Majeed scoring system, the postoperative prognosis of these patients were excellent in four cases, good in three cases, fair in one case, and poor in one case. There was a significant improve ment in neurologic deficiency in all postoperative patients, and their average Gibbons scores changed from 3.12 ± 0.23 pre operatively to 1.54 ± 0.45 postoperatively; and the difference was statistically significant (t=3.22, P <0.05). Lumbopelvic fixation has a significant advantage in the treatment of this series of fractures, and can help obtain a satisfactory clinical out -come. Intraoperative nerve decompression is necessary if indications exist and the improvement of neurological impairment is optimistic.","PeriodicalId":16040,"journal":{"name":"Journal of Hard Tissue Biology","volume":null,"pages":null},"PeriodicalIF":0.3000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Treatment of ‘Suicidal Jumper Fractures’ with Lumbopelvic Fixation: A Report of Nine Cases\",\"authors\":\"Li-Jun Li, Xiaobo Dong, Xiaochen Sun, Jian-ye Jia\",\"doi\":\"10.2485/JHTB.30.205\",\"DOIUrl\":null,\"url\":null,\"abstract\":\": To discuss the characteristics of Suicidal Jumper Fractures (SJF) and evaluate clinical outcomes treated with lumbopelvic fixation. From August 2007 to August 2012, nine consecutive cases with SJF were included into the study. The clinical data of these cases including fracture classifications, associated injuries and the degrees of neurological impairment were analyzed and assessed preoperatively. All cases were followed-up continuously after an average of 42 ± 4.54 months (range: 34-90 months). All fractures healed after 5 ± 1.53 months (range: 3-11 months). None of these cases had fracture re-displacement and fixation failure. Based on the Majeed scoring system, the postoperative prognosis of these patients were excellent in four cases, good in three cases, fair in one case, and poor in one case. There was a significant improve ment in neurologic deficiency in all postoperative patients, and their average Gibbons scores changed from 3.12 ± 0.23 pre operatively to 1.54 ± 0.45 postoperatively; and the difference was statistically significant (t=3.22, P <0.05). Lumbopelvic fixation has a significant advantage in the treatment of this series of fractures, and can help obtain a satisfactory clinical out -come. Intraoperative nerve decompression is necessary if indications exist and the improvement of neurological impairment is optimistic.\",\"PeriodicalId\":16040,\"journal\":{\"name\":\"Journal of Hard Tissue Biology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2021-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Hard Tissue Biology\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://doi.org/10.2485/JHTB.30.205\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ENGINEERING, BIOMEDICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Hard Tissue Biology","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.2485/JHTB.30.205","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}
引用次数: 1
摘要
目的探讨自杀性跳楼骨折(SJF)的特点,评价腰盂内固定治疗的临床效果。2007年8月至2012年8月,连续9例SJF纳入研究。术前对这些病例的临床资料进行分析和评估,包括骨折分类、相关损伤和神经功能损害程度。所有病例均连续随访,平均42±4.54个月(范围:34 ~ 90个月)。所有骨折均于5±1.53个月(范围:3-11个月)愈合。所有病例均无骨折再移位和固定失败。根据Majeed评分系统,患者术后预后为优4例,良3例,一般1例,差1例。术后所有患者的神经功能缺损均有明显改善,其平均Gibbons评分从术前的3.12±0.23降至术后的1.54±0.45;差异有统计学意义(t=3.22, P <0.05)。腰盆腔内固定在治疗这一系列骨折中具有显著的优势,并有助于获得满意的临床结果。术中神经减压是必要的,如果有指征,神经损伤的改善是乐观的。
Treatment of ‘Suicidal Jumper Fractures’ with Lumbopelvic Fixation: A Report of Nine Cases
: To discuss the characteristics of Suicidal Jumper Fractures (SJF) and evaluate clinical outcomes treated with lumbopelvic fixation. From August 2007 to August 2012, nine consecutive cases with SJF were included into the study. The clinical data of these cases including fracture classifications, associated injuries and the degrees of neurological impairment were analyzed and assessed preoperatively. All cases were followed-up continuously after an average of 42 ± 4.54 months (range: 34-90 months). All fractures healed after 5 ± 1.53 months (range: 3-11 months). None of these cases had fracture re-displacement and fixation failure. Based on the Majeed scoring system, the postoperative prognosis of these patients were excellent in four cases, good in three cases, fair in one case, and poor in one case. There was a significant improve ment in neurologic deficiency in all postoperative patients, and their average Gibbons scores changed from 3.12 ± 0.23 pre operatively to 1.54 ± 0.45 postoperatively; and the difference was statistically significant (t=3.22, P <0.05). Lumbopelvic fixation has a significant advantage in the treatment of this series of fractures, and can help obtain a satisfactory clinical out -come. Intraoperative nerve decompression is necessary if indications exist and the improvement of neurological impairment is optimistic.