Outcome Analysis of Chance Fractures of the Skeletally Immature Spine

Abstract

The deformity index was significantly higher in patients with a concomitants abdominal injury and significantly higher in patients managed operatively. Functional outcome scores were completed on 14 of the patients. Patients scored within the reported norms on the SF-36 version 2 but scored poorly on the pain and disability component of the AAOS lumbar specific questionnaire. These outcomes indicate a need for using an injury specific score to accurately quantify disability.

The Unusual Chance Fracture: Case Report & Literature Review

“…After 3 months of immobilization, a rehabilitation program aiming on muscle strengthening can assist the return to preinjury activity levels. The final results may not be determined for as long as one year postinjury, with the major complaint being chronic back pain [12]. Surgery may be indicated for patients with multiple injuries or patients whose size makes closed treatment impractical (large body habitus).…”

Whatʼs New in Orthopaedic Trauma

“…Mulpuri et al presented an observational analysis of Chance fractures in twenty-five skeletally immature patients who had been managed from 1984 to 2001 and introduced a deformity index in an attempt to help quantify the injury 50 . This index is determined through a series of calculations that ends up with a ratio of lost ventral height to gained posterior height.…”

Chance Fracture in Three Brothers

“…Thoracic-lumbar fracture caused by flexion-distraction mechanism is regarded as rather uncommon in the pediatric population 1,16,20 . Actually, these injuries were virtually unknown before the widespread use of lap seat belts as a mean of restraint and were first formally described in 1948 by Chance, 2,21 .…”