Abstract: ObjectiveTo observe the effect of surgical management on the thoracolumbar Chance fracture.Methods12 cases with thoracolumbar Chance fracture who accepted surgical management were followed-up 12 to 42 months(the mean was 21 months). ResultsDistraction deformity of posterior element were reduced significant in all patients, meanwhile, compression of anterior column was restored. Neurological function of all incomplete paraplegia patients improved their ASIA classification at least one grade. ConclusionSurgical treatment and internal fixation were suitable for stabilization of Chance fracture, neurological recovery and early rehabilitation.

Key words: thoracolumbar spine, Chance fracture, surgery, internal fixation, rehabilitation