Chance Fracture Pattern Presenting in Proximal Junctional Failure.
Shea M ComadollKenneth J HoltonDavid W PollyMichael W SchmitzJason J HaselhuhnPaul Brian O SorianoChristopher T MartinKristen E JonesJonathan N SembranoPublished in: Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews (2023)
Continued pain at 6 to 12 weeks with radiographs showing an increased proximal junctional angle and cephalocaudal pedicle widening at the UIV should raise suspicion for this unique fracture pattern. A CT scan is recommended. Low bone density, LL and/or lower LL overcorrection, and selection of lower thoracic UIV in the setting of notable thoracolumbar junction correction may contribute to fracture risk.