Evidence map›Paper›PMID 31037422›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2020

Spinopelvic dissociation in patients suffering injuries from airborne sports.

Henrik C Bäcker, Chia H Wu, J T Vosseller, Aristomenis K Exadaktylos, Lorin Benneker, Fabian Krause, Sven Hoppe, Christoph E Albers

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Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Henrik C BäckerDepartment of Orthopaedic Surgery and Traumatology, University Hospital Bern, Freiburgstrasse, 3010, Bern, Switzerland. henrik.baecker@sports-med.org.ORCID 0000-0002-4265-477X
Chia H WuDepartment of Orthopaedic Hand, Trauma and Microvascular Surgery, Columbia University Medical Center, New York, 10032, USA.
J T VossellerDepartment of Orthopaedic Hand, Trauma and Microvascular Surgery, Columbia University Medical Center, New York, 10032, USA.
Aristomenis K ExadaktylosDepartment of Emergency Medicine, University Hospital Bern, Freiburgstrasse, 3010, Bern, Switzerland.
Lorin BennekerDepartment of Orthopaedic Surgery and Traumatology, University Hospital Bern, Freiburgstrasse, 3010, Bern, Switzerland.
Fabian KrauseDepartment of Orthopaedic Surgery and Traumatology, University Hospital Bern, Freiburgstrasse, 3010, Bern, Switzerland.
Sven HoppeDepartment of Orthopaedic Surgery and Traumatology, University Hospital Bern, Freiburgstrasse, 3010, Bern, Switzerland.
Christoph E AlbersDepartment of Orthopaedic Surgery and Traumatology, University Hospital Bern, Freiburgstrasse, 3010, Bern, Switzerland.
University Hospital of Bern · CHColumbia University Irving Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinopelvic 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

methodsUsing 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.

resultsDuring 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 < 0.001). Six lambda-type, four T-type, four H-type and two U-type injuries were identified. In total, four patients (25%) were found to have neurological impairment. For treatment, 87.5% of patients underwent subsequent surgical stabilization.

conclusionAirborne sports have high potential for serious, life-threatening injuries with a high incidence of spinopelvic dissociation. In the literature, the prevalence of spinopelvic dissociation in sacral fractures is described to be between 3 and 5%. In our series, the prevalence is 36.4%. It is important to identify the potential injuries promptly for the further treatment. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

Fractures, BoneSpinal FracturesFracture Fixation, InternalHumansInjury Severity ScoreRetrospective StudiesSacrumHighly traumatic injuriesLumbopelvicParaglidingSacral fracturesSpinopelvicTrauma

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PMID31037422
OpenAlexW2943778518

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