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.
%0 Journal Article
%1 Levine1998
%A Levine, D. S.
%A Dugas, J. R.
%A Tarantino, S. J.
%A Boachie-Adjei, O.
%D 1998
%J Spine
%K Adult; Bone Screws; Cerebral Palsy; Humans; Internal Fixators; Kyphosis; Lumbar Vertebrae; Male; Spinal Fractures
%N 3
%P 382--5; discussion 386
%T Chance fracture after pedicle screw fixation. A case report.
%V 23
%X 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.
@article{Levine1998,
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.},
added-at = {2014-07-19T20:42:16.000+0200},
author = {Levine, D. S. and Dugas, J. R. and Tarantino, S. J. and Boachie-Adjei, O.},
biburl = {https://www.bibsonomy.org/bibtex/2d459e1ac413fbc811cc022b243564c5f/ar0berts},
groups = {public},
interhash = {24ba8d152e40b575ae2387320c6db4d6},
intrahash = {d459e1ac413fbc811cc022b243564c5f},
journal = {Spine},
keywords = {Adult; Bone Screws; Cerebral Palsy; Humans; Internal Fixators; Kyphosis; Lumbar Vertebrae; Male; Spinal Fractures},
month = Feb,
number = 3,
pages = {382--5; discussion 386},
pmid = {9507630},
timestamp = {2014-07-19T20:42:16.000+0200},
title = {Chance fracture after pedicle screw fixation. A case report.},
username = {ar0berts},
volume = 23,
year = 1998
}