Compagnon R et al: Epidemiology of spinal fractures in children: cross-sectional study. Orthop Traumatol Surg Res. 106(7):1245-9, 2020
Bourghli A et al: Management of a high thoracic chance fracture. Eur Spine J. 27(7):1547-52, 2018
Eberhardt CS et al: The seatbelt syndrome-do we have a chance? A report of 3 cases with review of literature. Pediatr Emerg Care. 32(5):318-22, 2016
AlJallaf M et al: Let's review Chance fracture. BMJ Case Rep. 2015, 2015
Parrish DW et al: Nonoperative management of pediatric aortic injury with seat belt syndrome. Ann Vasc Surg. 29(6):1316.e1-6, 2015
Lawson BK et al: Cauda equina and conus medullaris avulsion with herniation after midlumbar chance fracture. Spine J. 14(6):1060-2, 2014
Daniels AH et al: Pediatric thoracolumbar spine trauma. J Am Acad Orthop Surg. 21(12):707-16, 2013
Suttor S et al: Operative treatment of chance injuries in the paediatric population. Eur Spine J. 22(3):510-4, 2013
Arkader A et al: Pediatric Chance fractures: a multicenter perspective. J Pediatr Orthop. 31(7):741-4, 2011
Seitz H et al: Adolescent lumbar chance lesion: recurrent instability after hardware removal. J Trauma. 68(1):E16-9, 2010
Gordon ZL et al: Three siblings with Chance fractures: the importance of 3-point restraints. J Pediatr Orthop. 29(8):856-9, 2009
Tillou A et al: Is the use of pan-computed tomography for blunt trauma justified? A prospective evaluation. J Trauma. 67(4):779-87, 2009
Mulpuri K et al: The spectrum of abdominal injuries associated with chance fractures in pediatric patients. Eur J Pediatr Surg. 17(5):322-7, 2007
Bernstein MP et al: Chance-type fractures of the thoracolumbar spine: imaging analysis in 53 patients. AJR Am J Roentgenol. 187(4):859-68, 2006
Choit RL et al: Abdominal aortic injuries associated with chance fractures in pediatric patients. J Pediatr Surg. 41(6):1184-90, 2006
Groves CJ et al: Chance-type flexion-distraction injuries in the thoracolumbar spine: MR imaging characteristics. Radiology. 236(2):601-8, 2005
Hsu JM et al: Thoracolumbar fracture in blunt trauma patients: guidelines for diagnosis and imaging. Injury. 34(6):426-33, 2003
Liu YJ et al: Flexion-distraction injury of the thoracolumbar spine. Injury. 34(12):920-3, 2003
Sheridan R et al: Reformatted visceral protocol helical computed tomographic scanning allows conventional radiographs of the thoracic and lumbar spine to be eliminated in the evaluation of blunt trauma patients. J Trauma. 55(4):665-9, 2003
Wintermark M et al: Thoracolumbar spine fractures in patients who have sustained severe trauma: depiction with multi-detector row CT. Radiology. 227(3):681-9, 2003
Beaunoyer M et al: Abdominal injuries associated with thoraco-lumbar fractures after motor vehicle collision. J Pediatr Surg. 36(5):760-2, 2001
Greenwald TA et al: Pediatric seatbelt injuries: diagnosis and treatment of lumbar flexion-distraction injuries. Paraplegia. 32(11):743-51, 1994
Reid AB et al: Pediatric Chance fractures: association with intra-abdominal injuries and seatbelt use. J Trauma. 30(4):384-91, 1990
Rogers LF: The roentgenographic appearance of transverse or chance fractures of the spine: the seat belt fracture. Am J Roentgenol Radium Ther Nucl Med. 111(4):844-9, 1971
Chance GQ: Note on a type of flexion fracture of the spine. Br J Radiol. 21(249):452, 1948
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
Flexion-distraction injury, seat belt fracture
Definitions
Compression injury of anterior column of spine with distraction of middle & posterior columns
Compagnon R et al: Epidemiology of spinal fractures in children: cross-sectional study. Orthop Traumatol Surg Res. 106(7):1245-9, 2020
Bourghli A et al: Management of a high thoracic chance fracture. Eur Spine J. 27(7):1547-52, 2018
Eberhardt CS et al: The seatbelt syndrome-do we have a chance? A report of 3 cases with review of literature. Pediatr Emerg Care. 32(5):318-22, 2016
AlJallaf M et al: Let's review Chance fracture. BMJ Case Rep. 2015, 2015
Parrish DW et al: Nonoperative management of pediatric aortic injury with seat belt syndrome. Ann Vasc Surg. 29(6):1316.e1-6, 2015
Lawson BK et al: Cauda equina and conus medullaris avulsion with herniation after midlumbar chance fracture. Spine J. 14(6):1060-2, 2014
Daniels AH et al: Pediatric thoracolumbar spine trauma. J Am Acad Orthop Surg. 21(12):707-16, 2013
Suttor S et al: Operative treatment of chance injuries in the paediatric population. Eur Spine J. 22(3):510-4, 2013
Arkader A et al: Pediatric Chance fractures: a multicenter perspective. J Pediatr Orthop. 31(7):741-4, 2011
Seitz H et al: Adolescent lumbar chance lesion: recurrent instability after hardware removal. J Trauma. 68(1):E16-9, 2010
Gordon ZL et al: Three siblings with Chance fractures: the importance of 3-point restraints. J Pediatr Orthop. 29(8):856-9, 2009
Tillou A et al: Is the use of pan-computed tomography for blunt trauma justified? A prospective evaluation. J Trauma. 67(4):779-87, 2009
Mulpuri K et al: The spectrum of abdominal injuries associated with chance fractures in pediatric patients. Eur J Pediatr Surg. 17(5):322-7, 2007
Bernstein MP et al: Chance-type fractures of the thoracolumbar spine: imaging analysis in 53 patients. AJR Am J Roentgenol. 187(4):859-68, 2006
Choit RL et al: Abdominal aortic injuries associated with chance fractures in pediatric patients. J Pediatr Surg. 41(6):1184-90, 2006
Groves CJ et al: Chance-type flexion-distraction injuries in the thoracolumbar spine: MR imaging characteristics. Radiology. 236(2):601-8, 2005
Hsu JM et al: Thoracolumbar fracture in blunt trauma patients: guidelines for diagnosis and imaging. Injury. 34(6):426-33, 2003
Liu YJ et al: Flexion-distraction injury of the thoracolumbar spine. Injury. 34(12):920-3, 2003
Sheridan R et al: Reformatted visceral protocol helical computed tomographic scanning allows conventional radiographs of the thoracic and lumbar spine to be eliminated in the evaluation of blunt trauma patients. J Trauma. 55(4):665-9, 2003
Wintermark M et al: Thoracolumbar spine fractures in patients who have sustained severe trauma: depiction with multi-detector row CT. Radiology. 227(3):681-9, 2003
Beaunoyer M et al: Abdominal injuries associated with thoraco-lumbar fractures after motor vehicle collision. J Pediatr Surg. 36(5):760-2, 2001
Greenwald TA et al: Pediatric seatbelt injuries: diagnosis and treatment of lumbar flexion-distraction injuries. Paraplegia. 32(11):743-51, 1994
Reid AB et al: Pediatric Chance fractures: association with intra-abdominal injuries and seatbelt use. J Trauma. 30(4):384-91, 1990
Rogers LF: The roentgenographic appearance of transverse or chance fractures of the spine: the seat belt fracture. Am J Roentgenol Radium Ther Nucl Med. 111(4):844-9, 1971
Chance GQ: Note on a type of flexion fracture of the spine. Br J Radiol. 21(249):452, 1948
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