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La fracture de Chance et ses variantes

The chance fracture and its variants

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Summary

Five cases of Chance fracture are reported, representing 0.6% of the spinal fractures treated at the Orthopedic Clinic of the University of Athens during the last 10 years. This fracture is frequently not recognized and diagnosis is delayed because of this fact. The mechanism and the clinical and radiological signs are discussed. A classification is proposed that contains four varieties of this lesion. The Chance fracture is discussed with regard to stability, as surgical stabilization is reserved for unstable fractures (type B, C, D).

Résumé

Cinq cas de fractures de Chance sont rapportés; elles représentent 0,6% des fractures de la colonne vertèbrale traitées à la Clinique Orthopédique Universitaire d'Athènes durant les 10 dernières années. Leur méconnaissance est fréquente et le diagnostic souvent retardé de ce fait. Le mécanisme aussi bien que les signes cliniques et radiologiques sont discutés. Une classification comportant 4 variétés de cette lésion est proposée. La fracture de Chance est une fracture à stabilité discutée. La stabilisation chirurgicale est réservée aux fractures instables (Types B, C, D).

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Références

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Author information

Correspondence to D. S. Korres.

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Korres, D.S., Nottis, P.G., Feroussis, J.C. et al. La fracture de Chance et ses variantes. International Orthopaedics 7, 233–237 (1984). https://doi.org/10.1007/BF00266833

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Key words

  • Chance fracture
  • Spinal fractures
  • Classification
  • Variants
  • Stability