%0 Journal Article %1 Levine1998 %A Levine, D. S. %A Dugas, J. R. %A Tarantino, S. J. %A Boachie-Adjei, O. %D 1998 %J Spine %K Adult; Bone Screws; Cerebral Palsy; Humans; Internal Fixators; Kyphosis; Lumbar Vertebrae; Male; Spinal Fractures %N 3 %P 382--5; discussion 386 %T Chance fracture after pedicle screw fixation. A case report. %V 23 %X STUDY DESIGN: A case of a Chance fracture through an instrumented pedicle is presented. The radiographic and intraoperative findings and management of this complication are reported. OBJECTIVE: To increase awareness of the complications of transpedicular screw fixation and to suggest a form of management of this unusual complication. SUMMARY OF BACKGROUND DATA: To the authors' knowledge, this is the first reported case of such a vertebral fracture occurring after pedicle screw fixation. METHODS: A 44-year-old man with athetoid cerebral palsy and a progressive thoracic kyphosis sustained a Chance fracture at the caudal end of the segmental instrumentation construct. RESULTS: Surgical intervention, including fracture reduction and extension of the instrumented fusion to the pelvis, provided effective restoration of physiologic sagittal alignment. CONCLUSION: Chance fracture after pedicle screw fixation can be successfully managed with surgical intervention.

@article{Levine1998, abstract = {STUDY DESIGN: A case of a Chance fracture through an instrumented pedicle is presented. The radiographic and intraoperative findings and management of this complication are reported. OBJECTIVE: To increase awareness of the complications of transpedicular screw fixation and to suggest a form of management of this unusual complication. SUMMARY OF BACKGROUND DATA: To the authors' knowledge, this is the first reported case of such a vertebral fracture occurring after pedicle screw fixation. METHODS: A 44-year-old man with athetoid cerebral palsy and a progressive thoracic kyphosis sustained a Chance fracture at the caudal end of the segmental instrumentation construct. RESULTS: Surgical intervention, including fracture reduction and extension of the instrumented fusion to the pelvis, provided effective restoration of physiologic sagittal alignment. CONCLUSION: Chance fracture after pedicle screw fixation can be successfully managed with surgical intervention.}, added-at = {2014-07-19T20:42:16.000+0200}, author = {Levine, D. S. and Dugas, J. R. and Tarantino, S. J. and Boachie-Adjei, O.}, biburl = {https://www.bibsonomy.org/bibtex/2d459e1ac413fbc811cc022b243564c5f/ar0berts}, groups = {public}, interhash = {24ba8d152e40b575ae2387320c6db4d6}, intrahash = {d459e1ac413fbc811cc022b243564c5f}, journal = {Spine}, keywords = {Adult; Bone Screws; Cerebral Palsy; Humans; Internal Fixators; Kyphosis; Lumbar Vertebrae; Male; Spinal Fractures}, month = Feb, number = 3, pages = {382--5; discussion 386}, pmid = {9507630}, timestamp = {2014-07-19T20:42:16.000+0200}, title = {Chance fracture after pedicle screw fixation. A case report.}, username = {ar0berts}, volume = 23, year = 1998 }