TY - JOUR
T1 - Percutaneous surgical treatment of Chance fractures using cannulated pedicle screws. Report of two cases
AU - Schizas, Constantin
AU - Kosmopoulos, Victor
PY - 2007/7
Y1 - 2007/7
N2 - √Chance fractures are relatively rare injuries and can be treated either conservatively, with a cast, or surgically, especially when posterior ligament injury is present. This paper presents two cases of lumbar Chance fractures treated using recently developed percutaneous cannulated pedicle screws. The first patient suffered associated abdominal injuries that required surgery, while the second had associated stable spinal fractures. Intraoperative blood loss was minimal. Both patients progressed to osseous union without implant failure. Following minimally invasive implant removal 9 months after injury, both patients remained asymptomatic without any evidence of instability on flexion and extension images obtained during their latest follow-up. This technique may be useful in selected cases in which bone grafting is not necessary; it allows early mobilization and stable fixation while minimizing morbidity.
AB - √Chance fractures are relatively rare injuries and can be treated either conservatively, with a cast, or surgically, especially when posterior ligament injury is present. This paper presents two cases of lumbar Chance fractures treated using recently developed percutaneous cannulated pedicle screws. The first patient suffered associated abdominal injuries that required surgery, while the second had associated stable spinal fractures. Intraoperative blood loss was minimal. Both patients progressed to osseous union without implant failure. Following minimally invasive implant removal 9 months after injury, both patients remained asymptomatic without any evidence of instability on flexion and extension images obtained during their latest follow-up. This technique may be useful in selected cases in which bone grafting is not necessary; it allows early mobilization and stable fixation while minimizing morbidity.
KW - Minimally invasive surgery
KW - Pedicle screw fixation
KW - Spinal fracture
KW - Thoracolumbar spine
UR - http://www.scopus.com/inward/record.url?scp=34447550708&partnerID=8YFLogxK
U2 - 10.3171/SPI-07/07/071
DO - 10.3171/SPI-07/07/071
M3 - Article
C2 - 17633491
AN - SCOPUS:34447550708
VL - 7
SP - 71
EP - 74
JO - Journal of Neurosurgery: Spine
JF - Journal of Neurosurgery: Spine
SN - 1547-5654
IS - 1
ER -