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  4. Thoracolumbar Chance fracture during a professional female soccer game: case report

Thoracolumbar Chance fracture during a professional female soccer game: case report

einstein, 2016 · DOI: 10.1590/S1679-45082016RC3432 · Published: January 1, 2016

Spinal Cord InjuryOrthopedics

Simple Explanation

This case report describes a rare instance of a specific type of spinal fracture, called a Chance fracture, occurring in a female soccer player during a game. The injury involved not only a fracture but also damage to the ligaments in the spine, making it unstable. Despite the severity, the player received appropriate initial care, preventing further complications. After undergoing surgery to stabilize the spine, the athlete was able to return to professional soccer within six months and maintained her athletic routine without issues for four years following the procedure.

Study Duration
4 years
Participants
One 23-year-old female professional soccer player
Evidence Level
Case Report

Key Findings

  • 1
    The patient presented with a painful midline gap, suggesting ligament injury, which wasn't immediately recognized, highlighting the potential for delayed diagnosis in such injuries.
  • 2
    Proper immobilization and referral to the hospital were crucial in preventing further spinal cord damage, emphasizing the importance of adequate initial care at the game field.
  • 3
    Monosegmental posterior instrumentation spine fusion allowed the patient to return to professional soccer activities within 6 months, demonstrating a successful treatment outcome.

Research Summary

This case report details a rare instance of an unstable flexion-distraction spine fracture with ligament involvement in a professional female soccer player. The patient received prompt immobilization and hospital referral, preventing further spinal cord damage. She underwent surgical intervention and returned to professional soccer within six months. The study underscores the risk of severe spine injuries in soccer and the importance of proper on-field care to prevent iatrogenic neurological lesions, especially when complete posterior spine tension band injury is present.

Practical Implications

Increased Awareness

This case highlights the potential for severe spinal injuries, including Chance fractures, in sports like soccer, urging medical personnel to be vigilant.

Importance of Initial Care

Emphasizes the necessity of proper immobilization and prompt referral to prevent further neurological damage in athletes with suspected spinal injuries.

Surgical Intervention

Demonstrates the effectiveness of monosegmental posterior instrumentation spine fusion for treating unstable Chance fractures with ligament involvement, enabling return to high-level athletic activity.

Study Limitations

  • 1
    Single case report limits generalizability.
  • 2
    The study lacks a control group for comparison.
  • 3
    Limited information on the long-term outcomes beyond 4 years.

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