Open reduction and internal fixation of a lumbar Chance fracture in a child using Songer cable and lamina plates: Case report

Ali A. Baaj, Juan S. Uribe, Fernando Vale Diaz

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Chance-type fractures of the spine have been associated with seat-belt injuries in the pediatric population. Nonoperative management is appropriate in most cases of Chance fractures, but surgical intervention is occasionally warranted to deter progression of kyphosis and neurological deterioration. Internal fixation using pedicle screws has been widely used in the surgical repair of this injury. The authors report on a 6-year-old girl who suffered an L-2 Chance fracture with facet disruption, kyphosis, and significant posterior ligamentous injury. She underwent open reduction and internal fixation using Songer cable wiring augmented with bilateral lamina plating. At the 18-week follow-up, she continued to be free of any neurological deficits and her alignment was stable on plain radiographs of flexion-extension. The authors have therefore described a feasible option in the surgical management of Chance-type fractures in the pediatric spine.

Original languageEnglish (US)
Pages (from-to)129-131
Number of pages3
JournalJournal of Neurosurgery: Pediatrics
Volume3
Issue number2
DOIs
StatePublished - Feb 1 2009
Externally publishedYes

Keywords

  • Chance fracture
  • Lumbar fracture
  • Seat-belt injury

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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