A case of the chance fracture
Autor: | Kazuyuki Fukuda, Hiromichi Horikawa, Mitsuharu Uemura, Hirofumi Koito, Yasuo Hayashi, Mutsuro Suzuki, Yasuhide Matsunaga, Yasufumi Kataoka, Fujio Hokazono |
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Rok vydání: | 1986 |
Předmět: |
musculoskeletal diseases
medicine.medical_specialty Neurological complication business.industry Chance fracture Radiography Kyphosis Lumbar vertebrae musculoskeletal system medicine.disease Surgery medicine.anatomical_structure medicine Horizontal stress business Twelfth thoracic vertebra First lumbar vertebra |
Zdroj: | Orthopedics & Traumatology. 34:924-927 |
ISSN: | 1349-4333 0037-1033 |
DOI: | 10.5035/nishiseisai.34.924 |
Popis: | Chance fracture was described in 1948, consisting of the line of disruption passed entirely through bone, a horizontal fracture line extending across the vertebral body and continuining posteriorly through the pedicles, transverse process laminae, and spinous process. This fracture commonly occurs in the first lumbar vertebra to the forth lumbar vertebra, and neurological complication is unfrequent.Our case occurred in the twelfth thoracic vertebra, and there was no neurological complication. Our patient stayed in bed for two months after which he was mobilized, wearing thoracolumbar cast. He was discharged about three months after odmission with instructions to remove the cast after eight weeks.At five months radiographs showed consolidation of the fracture, in spite of kyphosis of about 20°.Now seven months later the patient is free of symptoms and he comebacks business. |
Databáze: | OpenAIRE |
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