scholarly journals Seat belt syndrome with unstable Chance fracture dislocation of the second lumbar vertebra without neurological deficits

2014 ◽  
Vol 2014 (jan08 1) ◽  
pp. bcr2013202412-bcr2013202412 ◽  
Author(s):  
D. O. Onu ◽  
A. W. Hunn ◽  
R. D. Bohmer
Keyword(s):  
Seat Belt ◽  
Lumbar Vertebra ◽  
Neurological Deficits ◽  
Fracture Dislocation ◽  
Chance Fracture

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

2009 ◽  
Vol 3 (2) ◽  
pp. 129-131 ◽  
Author(s):  
Ali A. Baaj ◽  
Juan S. Uribe ◽  
Fernando L. Vale
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Pediatric Population ◽  
Seat Belt ◽  
Pedicle Screws ◽  
Neurological Deficits ◽  
Chance Fracture ◽  
Flexion Extension ◽  
Feasible Option ◽  
Fractures Of The Spine

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.

What is the onset mechanism of internal hernia after vertebral body fracture? A case of internal hernia secondary to traumatic vertebral fracture

2021 ◽  
Vol 14 (9) ◽  
pp. e241005
Author(s):  
Akiyo Matsumoto ◽  
Takahiko Akao ◽  
Hiroshi Matsumoto ◽  
Naoki Kobayashi ◽  
Makoto Kamiya
Keyword(s):  
Internal Hernia ◽  
Histopathological Examination ◽  
Lumbar Vertebra ◽  
The Body ◽  
Neurological Deficits ◽  
Disc Space ◽  
Ileal Loop ◽  
Body Fracture ◽  
Enhanced Ct

A 67-year-old man who had been pinned between a basket crane and a tree complained of severe pain in his lower back and a decreased appetite. Laparotomy after decompressing the gastrointestinal tract revealed incarceration of an ileal loop within a fractured third lumbar vertebra. The damaged bowel was resected, and an end-to-end anastomosis was performed. Once the patient’s condition had stabilised, posterior lumbar fixation was performed. There were no abdominal complications or lower limb neurological deficits during the follow-up period. Enhanced CT and MRI had been helpful in making the diagnoses. Histopathological examination revealed the aetiology of the traumatic incarceration: the intestine had been pinched as the disc space closed, and the body attempted to return to its original state by exerting countertraction.

scholarly journals Small bowel entrapment and ureteropelvic junction disruption associated with L3 Chance fracture-dislocation

2016 ◽  
Vol 4 (9) ◽  
pp. 264 ◽  
Author(s):  
Sebastien Pesenti ◽  
Benjamin Blondel ◽  
Alice Faure ◽  
Emilie Peltier ◽  
Franck Launay ◽  
...  
Keyword(s):  
Small Bowel ◽  
Ureteropelvic Junction ◽  
Fracture Dislocation ◽  
Chance Fracture

scholarly journals Chance Fracture in Three Brothers

2018 ◽  
Vol 24 (4) ◽  
pp. 322-326
Author(s):  
Lucidio Duarte De Souza Filho ◽  
Geraldo Vitor Cardoso Bicalho ◽  
Bernardo Drummond ◽  
Rafael Stein Rosseto ◽  
Rodrigo Moreira Faleiro ◽  
...  
Keyword(s):  
Fracture Mechanism ◽  
Motor Vehicle ◽  
Pediatric Population ◽  
Seat Belt ◽  
Seat Belts ◽  
Abdominal Injuries ◽  
Chance Fracture ◽  
Belo Horizonte ◽  
Type Of Injury ◽  
Type Of Fracture

Chance fracture, suggestive of a flexion-distraction mechanism, is an uncommon type of injury in the pediatric population. Its occurrence, with associated intra-abdomimal lesions, has increased with the widespread use of seat belts. Since this type of fracture presents subtle variations on common image examinations, its diagnosis may be delayed increasing the probability of subsequent neurologic deficits. In this paper we report the case of three siblings, victims of a motor vehicle head-on collision,either presenting seat belt fracture or Chance fracture. They were treated in the Hospital João XXIII, Belo Horizonte. The case reported reinforces the hypothesis describing the fracture mechanism and associated intra-abdominal injuries.

Fracture-dislocation of the cervical spine with ankylosing spondylitis

1973 ◽  
Vol 39 (6) ◽  
pp. 764-769 ◽  
Author(s):  
Carroll Osgood ◽  
Louis G. Martin ◽  
Elliott Ackerman
Keyword(s):  
Cervical Spine ◽  
Ankylosing Spondylitis ◽  
Predisposing Factors ◽  
Neurological Deficits ◽  
Fracture Dislocation ◽  
Cervical Fracture ◽  
Review Of The Literature ◽  
Content Type ◽  
Fine Print

✓ Two cases of cervical fracture-dislocation causing neurological deficits in patients with ankylosing spondylitis are presented. Review of the literature shows that these patients have a higher incidence of neurological deficits (70%) than comparable patients without ankylosing spondylitis (44%). Predisposing factors and treatment are discussed.

Chance fractures in the pediatric population

2011 ◽  
Vol 8 (2) ◽  
pp. 189-197 ◽  
Author(s):  
Tien V. Le ◽  
Ali A. Baaj ◽  
Armen Deukmedjian ◽  
Juan S. Uribe ◽  
Fernando L. Vale
Keyword(s):  
Motor Vehicle ◽  
Case Reports ◽  
Pediatric Population ◽  
Seat Belt ◽  
Relevant Information ◽  
Pattern Of Injury ◽  
Treatment Regimens ◽  
Chance Fracture ◽  
Fractures In Children ◽  
Intraabdominal Injuries

Object The pediatric Chance fracture (PCF) is an uncommon injury, but it has been increasingly reported. Knowledge is limited to few case reports and short series. To understand the various aspects of this injury, the authors reviewed the current literature. Methods A literature search was conducted using the PubMed and Ovid online databases and relevant key words. All articles that were in English and provided information regarding PCF as a sole or part of the objective were retrieved. Results Seventy-three articles were found to fulfill the inclusion criteria. Relevant information about PCF collected from these articles included: 1) mode of trauma, 2) associated injuries, 3) radiological classification, and 4) treatment. Conclusions Chance fractures in children are potentially devastating injuries largely caused by motor vehicle collisions, and these fractures may be more common than previously thought. Concomitant intraabdominal injuries are common and should be suspected, particularly when a seat belt sign is observed. Blunt abdominal aortic injuries are rarely associated, but should be evaluated for and treated appropriately. Magnetic resonance imaging is best for defining ligamentous injury, which aids in defining the pattern of injury, facilitating appropriate treatment regimens.

scholarly journals Emergency Closed Reduction of a C4/5 Fracture Dislocation with Complete Paraplegia Resulting in Profound Neurologic Recovery

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Christian W. Müller ◽  
Sebastian Decker ◽  
Roland Thietje ◽  
Christian Krettek
Keyword(s):  
Spinal Cord ◽  
Clinical Practice ◽  
Animal Studies ◽  
Spinal Cord Injuries ◽  
Cervical Spinal Cord ◽  
Neurological Deficits ◽  
Fracture Dislocation ◽  
Neurologic Recovery ◽  
Horse Riding ◽  
Walking Aids

Introduction. Cervical spinal cord injuries due to traumatic fractures are associated with persistent neurological deficits. Although clinical evidence is weak, early decompression, defined as <24–72 h, has been frequently proposed. Animal studies show better outcomes after early decompression within one hour or less, which can hardly ever be achieved in clinical practice.Case Presentation. A 37-year-old patient was hospitalized after being hit by a shying horse. After diagnosis of C4/5 fracture dislocation and complete paraplegia, she was intubated and sedated with deep relaxation. Emergency reduction was performed at approximately 120 minutes after trauma. Subsequently, a standard anterior decompression, discectomy, and fusion were carried out. She was then transferred to a specialized rehabilitation hospital. Her neurologic function improved from AIS grade A on admission to grade B postoperatively and grade D after four months of rehabilitation. One year after the accident, she was ambulatory without walking aids and restarted horse riding.Discussion and Conclusion. Rarely in clinical practice, decompression of the spine canal can be performed as early as in this case. This case highlights the potential benefit of utmost early reduction in cervical fracture dislocations with compression of the spinal cord.

Complete fracture-dislocation of cervical spine without permanent neurological sequelae

1983 ◽  
Vol 58 (5) ◽  
pp. 760-762 ◽  
Author(s):  
Roy P. Baker ◽  
Robert L. Grubb
Keyword(s):  
Cervical Spine ◽  
Neurological Deficits ◽  
Fracture Dislocation ◽  
Multiple Fractures ◽  
Neurological Sequelae ◽  
Content Type ◽  
Primary Mechanism ◽  
Complete Fracture ◽  
Type Of Injury ◽  
Fine Print

✓ A case of complete fracture-dislocation of the lower cervical spine in which there were no permanent neurological sequelae is presented. The absence of permanent neurological deficits with this type of injury is rare. The primary mechanism of injury in this patient was believed to be hyperextension with rupture of the ligamentous structures, allowing complete dislocation of the C-6 body while the posterior elements remained in good alignment due to multiple fractures which “decompressed” the spinal cord.

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