Abstract:
STUDY DESIGN:A case of a Chance fracture through an instrumented pedicle is presented. The radiographic and intraoperative findings and management of this complication are reported. OBJECTIVE:To increase awareness of the complications of transpedicular screw fixation and to suggest a form of management of this unusual complication. SUMMARY OF BACKGROUND DATA:To the authors' knowledge, this is the first reported case of such a vertebral fracture occurring after pedicle screw fixation. METHODS:A 44-year-old man with athetoid cerebral palsy and a progressive thoracic kyphosis sustained a Chance fracture at the caudal end of the segmental instrumentation construct. RESULTS:Surgical intervention, including fracture reduction and extension of the instrumented fusion to the pelvis, provided effective restoration of physiologic sagittal alignment. CONCLUSION:Chance fracture after pedicle screw fixation can be successfully managed with surgical intervention.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Levine DS,Dugas JR,Tarantino SJ,Boachie-Adjei Odoi
10.1097/00007632-199802010-00019subject
Has Abstractpub_date
1998-02-01 00:00:00pages
382-5; discussion 386issue
3eissn
0362-2436issn
1528-1159journal_volume
23pub_type
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