CLINICAL OUTCOMES OF SURGICALLY TREATED DENIS ZONE III SACRAL FRACTURES

  • IRIFUNE Hideto
    Department of Traumatology and Critical Care Medicine, Sapporo Medical University School of Medicine Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine
  • MORI Kazuhisa
    Department of Traumatology and Critical Care Medicine, Sapporo Medical University School of Medicine
  • MAEKAWA Kunihiko
    Department of Traumatology and Critical Care Medicine, Sapporo Medical University School of Medicine
  • SAWAMOTO Keigo
    Department of Traumatology and Critical Care Medicine, Sapporo Medical University School of Medicine
  • MIZUNO Hirotoshi
    Department of Traumatology and Critical Care Medicine, Sapporo Medical University School of Medicine
  • SAKAWAKI Eiji
    Department of Traumatology and Critical Care Medicine, Sapporo Medical University School of Medicine
  • AISAKA Wakiko
    Department of Traumatology and Critical Care Medicine, Sapporo Medical University School of Medicine
  • TANNO Katsutoshi
    Department of Traumatology and Critical Care Medicine, Sapporo Medical University School of Medicine
  • ASAI Yasufumi
    Department of Traumatology and Critical Care Medicine, Sapporo Medical University School of Medicine

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Other Title
  • Denis zone III 仙骨骨折 (Suicidal Jumper's Fracture) の治療成績

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<p>  In this study, we report the outcomes of surgical treatment in patients with Denis zone III sacral fracture at our center. A consecutive series of 7 patients (average age 38.4 years) with Denis zone III fractures treated surgically over a 5-year period was studied. The cause of injury in all 7 cases was a fall from a height. The average injury severity score was 26.7. Pelvic ring fixation without decompression was performed for all the patients. The time until final follow up was an average of 14.4 months. All the fractures healed eventually. Initial Gibbons classification scores averaged 3.1 and decreased to 1.8. Thus, surgical treatment of Denis zone III sacral fractures was effective ; however, decompression might not be necessary in the acute phase.</p>

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