22-year-old male found in ditch mangled

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Chance fracture

Chance fracture

 Discussion

Findings

— Anterior wedge compression fracture of T6

— Distraction fracture of posterior elements

— Splenic laceration and hemoperitoneum

Differential

— Chance fracture

— Burst fracture

— Osteoporotic compression fracture

— Pathologic compression

fracture

Chance fracture

  • Flexion-distraction injury, seat-belt fracture
  • Compression injury of anterior column
  • Distraction injury of middle and posterior columns
  • Usually occurs at T11-L3
  • Disrupts posterior longitudinal ligament and interspinous ligaments
  • The abdominal injury usually present

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