Chance fracture

Case contributed by Dr David Cuete

Presentation

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

Patient Data

Age: 25
Gender: Female
X-ray

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

CT Spine

CT of the lower thoracic spine demonstrates 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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Case information

rID: 36521
Case created: 28th Apr 2015
Last edited: 24th Apr 2017
Inclusion in quiz mode: Included

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