PURPOSE: Chance fractures are an uncommon spine injury in the paediatric population. As such there is a relative paucity of evidence in the literature to guide management decisions. We present our single centre experience in the operative management of these injuries. METHODS: All patients presenting to a tertiary paediatric trauma centre between 2000 and 2008 were included. Retrospective analysis of clinical (SRS-22 and Oswestry) and radiological outcomes was undertaken. RESULTS: Twelve patients underwent operative stabilization of a Chance type injury. Radiological and clinical outcome measures demonstrated excellent outcomes in the majority of patients with no significant complications. CONCLUSIONS: Operative management of paediatric chance injuries with instrumentation results in excellent clinical and radiological outcomes.
PURPOSE: Chance fractures are an uncommon spine injury in the paediatric population. As such there is a relative paucity of evidence in the literature to guide management decisions. We present our single centre experience in the operative management of these injuries. METHODS: All patients presenting to a tertiary paediatric trauma centre between 2000 and 2008 were included. Retrospective analysis of clinical (SRS-22 and Oswestry) and radiological outcomes was undertaken. RESULTS: Twelve patients underwent operative stabilization of a Chance type injury. Radiological and clinical outcome measures demonstrated excellent outcomes in the majority of patients with no significant complications. CONCLUSIONS: Operative management of paediatric chance injuries with instrumentation results in excellent clinical and radiological outcomes.
Authors: Ory Keynan; Charles G Fisher; Alexander Vaccaro; Michael G Fehlings; F C Oner; John Dietz; Brian Kwon; Raj Rampersaud; Christopher Bono; John France; Marcel Dvorak Journal: Spine (Phila Pa 1976) Date: 2006-03-01 Impact factor: 3.468
Authors: Alexandre Arkader; William C Warner; Vernon T Tolo; Paul D Sponseller; David L Skaggs Journal: J Pediatr Orthop Date: 2011 Oct-Nov Impact factor: 2.324