Diagnosis and surgical treatment of thoracolumbar vertebral Chance fractures caused by a fall.
- Author:
Gen-lin WANG
1
;
Hui-Lin YANG
;
Xin CAI
;
Jin-Hui SHI
;
Tian-Si TANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Bone Screws; Female; Follow-Up Studies; Fracture Fixation, Internal; instrumentation; methods; Humans; Lumbar Vertebrae; injuries; Male; Middle Aged; Retrospective Studies; Spinal Fractures; etiology; surgery; Thoracic Vertebrae; injuries; Treatment Outcome
- From: Chinese Journal of Surgery 2008;46(10):741-744
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the diagnosis of Chance fractures of thoracolumbar spine and the clinical efficacy of segmental pedicle screw instrumentation in the treatment.
METHODSThe clinical data of 16 patients with Chance fractures from January 2000 to January 2007 were retrospectively analyzed. All patients were treated with segmental pedicle screw instrumentation. Radiology and the Oswestry Disability Index (ODI) were used to evaluate the efficacy.
RESULTSOne case associated with open dislocation of ankle and craniocerebral injury, 3 cases with calcaneus fracture and 1 with kidney contusion. All cases were followed up from 7 months to 6 years, with a mean of 2.6 years. There were no operation complications. The anterior vertebral body height of fracture vertebra was restored from preoperative (63.3 +/- 6.8)% to postoperative (92.1 +/- 4.0)%, at the follow-up (90.7 +/- 3.6)%. There was a significant improvement between preoperative and postoperative values (P < 0.01) and no difference between initial postoperative and final follow-up (P > 0.05). The mean ODI was 4.9.
CONCLUSIONSThe injuries associated with Chance fracture caused by a fall and its mechanism are different from those with the safety belt injury. The segmental pedicle screw instrumentation can rebuild spinal stabilization and restore spinal alignment in treatment of Chance fractures.
