Eghbal Keyvan, Abdollahpour Hamid Reza, Ghaffarpasand Fariborz
Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Orthopedics, Shiraz University of Medical Sciences, Shiraz, Iran.
Asian J Neurosurg. 2018 Jul-Sep;13(3):906-909. doi: 10.4103/ajns.AJNS_80_18.
Cervical spine chance fracture (flexion-distraction) is a rare type of fracture, and the surgical management remains a dilemma to the neurosurgeons as there is a paucity of evidence accordingly. We herein report a traumatic chance fracture of C7 fractures and its surgical management. A 33-year-old male was transferred to our center after being hit as pedestrian and was diagnosed to have a chance fracture of C7 and bilateral C7 root injury. He underwent open reduction of the deformity by posterior-only fixation of C5 and C6 with a lateral mass screw and T1 and T2 with pedicular screws. The neurological examination improved postoperatively, and the patients were neurologically intact after 6 months of treatment. Traumatic cervical spine chance fracture is extremely rare and can be managed surgically through posterior fixation and open reduction of the deformity. The best choice of treatment is limited by the paucity of the evidence and should be individualized.
颈椎 Chance 骨折（屈曲-牵张型）是一种罕见的骨折类型，由于相应的证据匮乏，其手术治疗仍然是神经外科医生面临的一个难题。我们在此报告一例 C7 创伤性 Chance 骨折及其手术治疗情况。一名 33 岁男性行人被撞后转至我院，诊断为 C7 Chance 骨折并双侧 C7 神经根损伤。他接受了仅通过后路使用侧块螺钉固定 C5 和 C6 以及椎弓根螺钉固定 T1 和 T2 来进行畸形切开复位。术后神经检查有所改善，治疗 6 个月后患者神经功能完好。创伤性颈椎 Chance 骨折极为罕见，可通过后路固定和畸形切开复位进行手术治疗。最佳治疗选择因证据匮乏而受限，应个体化。
