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
From the case:
Chance fracture
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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.
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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.