Lumbosacral fracture dislocation [Neurosurgery Wiki]

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=====Lumbosacral fracture dislocation=====
Roy-Camille et al. was the first to describe this injury as a “suicide jumper’s fracture” 
((Roy-Camille R, Saillant G, Gagna G, Mazel C. Transverse fracture of the upper sacrum. Suicidal jumper's fracture. Spine (Phila Pa 1976). 1985;10(9):838–45.)).

[[Lumbosacral fracture]] dislocation is a rare entity mainly occurred in high-energy trauma accidents
((Roy-Camille R, Saillant G, Gagna G, Mazel C. Transverse fracture of the upper sacrum. Suicidal jumper's fracture. Spine (Phila Pa 1976). 1985;10(9):838–45.))
((Helgeson MD, Lehman RAJ, Cooper P, Frisch M, Andersen RC, Bellabarba C. Retrospective review of lumbosacral dissociations in blast injuries. Spine (Phila Pa 1976). 2011;36(7):E469–75. doi: 10.1097/BRS.0b013e3182077fd7.))
((Schildhauer TA, Bellabarba C, Nork SE, Barei DP, Chip Routt ML, Chapman JR. Decompression and Lumbopelvic Fixation for Sacral Fracture-Dislocations With Spino-pelvic Dissociation. J Orthopa Trauma. 2006;20(7):447–57. doi: 10.1097/00005131-200608000-00001.))
((Wangtaphan W, Oo M, Paholpak P, Wang Z, Sakakibara T, Kasai Y. Traumatic lumbosacral spondyloptosis treated five months after injury occurrence: a case report. Spine (Phila Pa 1976). 2012;37(22):E1410–4. doi: 10.1097/BRS.0b013e318268c08a.)).

Intimate and strong osteoligamentous elements exist in this especial area of spine protecting neural elements that are responsible for the innervations of lower extremities, bowel, bladder and sexual organs 
((Lehman RAJ, Kang DG, Bellabarba C. A new classification for complex lumbosacral injuries. Spine J. 2012;12(7):612–28. doi: 10.1016/j.spinee.2012.01.009. ))