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Pediatric chance fracture
1Department of Orthopaedics, Louisiana State University Medical School, New Orleans.
Journal of Orthopaedic Trauma
|January 1, 1990
Insights
A rare Chance fracture in a young child, a type of lumbar spine injury, typically shows no neurological deficits. Treatment involves rest and a hyperextension cast.
Area of Science:
- Pediatric Orthopedics
- Spinal Trauma
- Biomechanical Engineering
Background:
- Flexion-distraction injuries, known as Chance fractures, are rare in pediatric populations.
- Understanding the biomechanics of pediatric spinal injuries is crucial for appropriate management.
Observation:
- A case study of a 4-year-old child with a Chance fracture of the first lumbar vertebrae is presented.
- This specific pediatric spinal trauma case exhibited no associated neurological deficit.
Findings:
- Chance fractures are uncommon in children, with a low incidence of neurological compromise.
- Early conservative management, including bed rest and hyperextension casting, is recommended.
Implications:
- Highlights the importance of recognizing and managing rare pediatric spinal injuries.
- Suggests conservative treatment protocols may be effective for pediatric Chance fractures without neurological deficits.
- Informs orthopedic and trauma care guidelines for pediatric vertebral injuries.
Abstract:
A flexion-distraction injury of the first lumbar vertebrae (Chance fracture) in a child 4 years and 3 months old is discussed and the literature reviewed. Chance features are uncommon in children. This injury is seldom accompanied by a neurological deficit. Recommended treatment consists of early bed rest followed by the application of a hyperextension Risser cast.