Clinical study thoracolumbar Chance fractures: a report of 21 cases / 中国骨伤
China Journal of Orthopaedics and Traumatology
;
(12): 550-551, 2008.
Article
in Chinese
| WPRIM
| ID: wpr-307053
ABSTRACT
<p><b>OBJECTIVE</b>To discuss the mechanism, clinical characteristics, diagnosis and treatment of thoracolumbar Chance fractures.</p><p><b>METHODS</b>Among all the 21 patients, 13 patients were male and 8 patients were female, ranging in age from 23 to 57 years, with an average of 32 years. The injury was at the level of T11 in 3 patients, at the level of T12 in 9 patients, at the level of L1 in 8 patients and at the level of L2 in 1 patient. According to Denis classification, 10 patients were type A, 2 type B, 5 type C, and 4 type D. All the patients were treated with pedicle screw internal fixation and posterior lateral fusion at the level of injury.</p><p><b>RESULTS</b>Twenty-one patients had been followed up for an average of 18 months (13 to 28 months). According to ASIA neurologic grading system, 4 cases in grade C or D recovered to grade E postoperatively and one case in grade B was not improved. Postoperative X-ray showed good reduction and fixation in all cases and no looseness or breakage in the fixation system. The results of postoperative back pain and function assessment were mostly satisfactory.</p><p><b>CONCLUSION</b>Thoracolumbar Chance fractures are due to flexion-distraction injuries and regarded as unstable, which are uncommon and usually not present with a neurologic deficit. Reduction and stabilization with posterior pedicle screw internal fixation is suggested in patients with thoracolumbar Chance fractures.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Thoracic Vertebrae
/
Wounds and Injuries
/
Retrospective Studies
/
Spinal Fractures
/
Fracture Fixation, Internal
/
Lumbar Vertebrae
/
Methods
Type of study:
Observational study
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
China Journal of Orthopaedics and Traumatology
Year:
2008
Type:
Article
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