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Chance Fracture
Aka: Chance Fracture, Chance Flexion Distraction Fracture of Vertebra, Chance Vertebral Fracture, Seat Belt Fracture
- See Also
- Thoracolumbar Trauma
- Vertebral Fracture
- Pathophysiology
- High velocity Traumatic Injury (e.g. MVA with Lap belt only)
- Causes flexion and distraction of the thoracolumbar spine
- Unstable, transverse Fracture through the anterior, middle and posterior Vertebral body
- Associated Conditions
- Spinal cord injury
- Traumatic Aortic Disruption
- Liver Laceration
- Splenic Rupture
- Mesentary or Small Bowel injury (if Seat Belt Sign present)
- Signs
- Point tenderness over thoracolumbar Vertebrae (L1 region)
- Seat Belt Sign
- Management
- Spine surgery is typically required
- Resources
- Chance Fracture (Radiopedia)
- https://radiopaedia.org/articles/chance-fracture
- References
- Herbert, Orman and Hollander in Herbert (2018) EM:Rap 18(4): 13