Operative treatment of chance injuries in the paediatric population

Eur Spine J. 2013 Mar;22(3):510-4. doi: 10.1007/s00586-012-2582-7. Epub 2012 Dec 1.

Abstract

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.

MeSH terms

  • Adolescent
  • Child
  • Female
  • Humans
  • Lumbar Vertebrae / injuries
  • Lumbar Vertebrae / surgery*
  • Male
  • Retrospective Studies
  • Spinal Fractures / surgery*
  • Spinal Fusion
  • Thoracic Vertebrae / injuries
  • Thoracic Vertebrae / surgery*
  • Treatment Outcome