• Orthop. Clin. North Am. · Jan 2014

    Review

    Spondylopelvic dissociation.

    • Matthew P Sullivan, Harvey E Smith, James M Schuster, Derek Donegan, Samir Mehta, and Jaimo Ahn.
    • Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19143, USA.
    • Orthop. Clin. North Am. 2014 Jan 1;45(1):65-75.

    AbstractSpondylopelvic 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.Copyright © 2014 Elsevier Inc. All rights reserved.

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