title: Chance fracture in an older patient with positive sagittal imbalance and previous lumbar arthrodesis: what can be done?
abstract: The Chance fracture occurs frequently in school-aged patients' population and is related to flexion-distraction injury in motor vehicle accidents. It is so called seat-belt syndrome because the seatbelt lies over the abdomen. After sudden deceleration bends the child around the lap belt causing injuries to the abdomen, and the spine (e.g., Chance fracture). The Chance fracture after a low energy fall in elderly patient's population has rarely been reported. We present an 82 years old patient who suffered unrecognized Chance fracture after a low energy fall. The management of this patient with positive sagittal imbalance and previous arthrodesis consisted of decompression, Smith-Petersen osteotomy and posterior pedicle screw instrumentation.
authors: Department of Orthopaedic, Trauma and Spine Surgery, Asklepios Klinik Altona, Paul-Ehrlich-Straße 1, 22763, Hamburg, Germany. paulzwolak@yahoo.com.
authors: Pawel
authors: P
authors: Zwolak
authors: Department of Orthopaedic, Trauma and Spine Surgery, Asklepios Klinik Altona, Paul-Ehrlich-Straße 1, 22763, Hamburg, Germany.
authors: Markus
authors: M
authors: Kröber
mesh_terms: D000369:Aged, 80 and over; D019299:Decompression, Surgical; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D010027:Osteotomy; D012447:Sacrum / Q000601:surgery; D013121:Spinal Curvatures / Q000209:etiology*; D016103:Spinal Fractures / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013123:Spinal Fusion; D013904:Thoracic Vertebrae / Q000293:injuries* / Q000601:surgery
keywords: Chance fracture; Sagittal imbalance; Spine; Unstable spine fractures