Chance fracture

Case contributed by David Cuete
Diagnosis certain

Presentation

Patient involved in an automobile accident. She was at the driver's seat and wearing a seat belt.

Patient Data

Age: 25 years
Gender: Female
x-ray
Frontal
Lateral
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Info

There is a subtle horizontal lucency through the left pedicle. In lateral projection of the lumbar spine there is a minor compression fracture of the body of T11.

CT Spine

ct
This study is a stack
Axial bone
window
This study is a stack
Axial
non-contrast
This study is a stack
Coronal
bone window
This study is a stack
Coronal
non-contrast
This study is a stack
Sagittal
bone window
This study is a stack
Sagittal
non-contrast
This study is a stack
3D
VR
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Info

CT confirms a horizontal fracture through the spinous process and pedicles and a compression fracture of the vertebral body characteristic of the hyperflexion distraction-impaction injury.

Case Discussion

The Chance fracture represents a spinal lesion caused by a flexion-distraction injury pattern.

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