Management of Chance Fracture

Initial Diagnostic Evaluation and Treatment

• The American College of Rheumatology recommends ensuring adequate calcium (1000-1200 mg/day) and vitamin D (800 IU/day) supplementation for elderly patients with ankylosed spine 1

Special Populations

• Teriparatide 20 mcg daily for up to 24 months combined with orthosis can achieve solid union even in unstable patterns when surgery is contraindicated in elderly patients with ankylosed spine 1