Spinopelvic dissociation in patients suffering injuries from airborne sports
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ORIGINAL ARTICLE
Spinopelvic dissociation in patients suffering injuries from airborne sports Henrik C. Bäcker1,2 · Chia H. Wu2 · J. T. Vosseller2 · Aristomenis K. Exadaktylos3 · Lorin Benneker1 · Fabian Krause1 · Sven Hoppe1 · Christoph E. Albers1 Received: 29 November 2018 / Accepted: 19 April 2019 © Springer-Verlag GmbH Germany, part of Springer Nature 2019
Abstract Background Spinopelvic dissociation which is also called U-type or referred to H-type sacral fractures with a transverse fracture line is an infrequent injury that results mainly from high-energy accidents. This results in an osseous dissociation of the upper central segment of the sacrum and the entire spine from the lower sacral segments. The purpose was to investigate the incidence of spinopelvic fracture in general among airborne injuries. Patients and methods Using our electronic patient records, we retrospectively investigated all sacral fractures related to airborne sports between 2010 and 2017. All injuries were classified according to the Roy-Camille, Denis, AOSpine and the Tile classification system. Results During the period of interest, 44 patients (18.7%) were admitted with sacral fractures after accidents obtained from airborne sports, including 16 spinopelvic dissociations (36.4%). The majority of these injuries were obtained from paragliding (75.0%), followed by BASE jumping (21.4%) and parachuting (4%). The mean injury severity score (ISS) in the spinopelvic dissociation group was significantly higher compared with other sacral fracture group (38.1 vs. 20.0; p
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