Duke Radiology Case Review: Imaging, Differential Diagnosis, and Discussion. ^ a b c Provenzale JM, Nelson RC, Vinson EN (2012).^ a b c d e f Patel VV, Burger E, Brown CW (2010)."The Seatbelt Syndrome-Do We Have a Chance?: A Report of 3 Cases With Review of Literature". ^ a b Eberhardt CS, Zand T, Ceroni D, Wildhaber BE, La Scala G (May 2016).^ a b c d e f g Yochum TR, Rowe LJ (2004).^ a b c "Fractures of the Thoracic and Lumbar Spine".^ a b c d e f "Wheeless' Textbook of Orthopaedics".In some Chance fractures there is a transverse break through the bony spinous process while in others there is a tear of the supraspinous ligament, ligamentum flavum, interspinous ligament, and posterior longitudinal ligament. The fracture was more common in the 1950s and 1960s before shoulder harnesses became common. Chance, a radiologist from Manchester, UK, in 1948. Treatment may be conservative with the use of a brace or via surgery. A CT scan is recommended as part of the diagnostic work-up to detect any potential abdominal injuries. The most common area affected is the lower thoracic and upper lumbar spine. It often involves disruption of all three columns of the vertebral body (anterior, middle, and posterior). Being hit in the abdomen with an object like a tree or a fall may also result in this fracture pattern. The cause is classically a head-on motor vehicle collision in which the affected person is wearing only a lap belt. Injury to the bowel may not be apparent on the first day. In around half of cases there is an associated abdominal injury such as a splenic rupture, small bowel injury, pancreatic injury, or mesenteric tear. Symptoms may include abdominal bruising ( seat belt sign), or less commonly paralysis of the legs. Head-on motor vehicle collision in which a person is only wearing a lap belt Ī Chance fracture is a type of vertebral fracture that results from excessive flexion of the spine. Splenic rupture, small bowel injury, mesenteric tear Chance fracture of the spine, flexion distraction fracture, lap seat belt fracture Ī Chance fracture of T10 and fracture of T9 due to a seatbelt during an MVC.Ībdominal bruising, paralysis of the legs
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