Three siblings with Chance fractures: the importance of 3-point restraints

Journal of Pediatric Orthopedics
Zachary L GordonGeorge H Thompson

Abstract

Pediatric Chance fractures are uncommon injuries. They are the result of a flexion-distraction force applied to the spine, and most commonly occur from motor vehicle accidents in which passengers are wearing lap seat belts as opposed to 3-point restraints with a chest strap. Neurologic injuries are rarely associated with Chance fractures in children, but accompanying intraabdominal injuries are often found and carry a potential for significant morbidity. We present 3 siblings in a minivan who were involved in a high-speed motor vehicle accident and as a result of wearing their 3-point restraints improperly, suffered Chance fractures. None had neurologic dysfunction, but 2 had serious intra-abdominal injuries requiring surgical repair. All 3 Chance fractures were treated with cast immobilization. This case report shows the importance of wearing 3-point restraints properly while traveling in a motor vehicle.

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Citations

Aug 3, 2011·Journal of Neurosurgery. Pediatrics·Tien V LeFernando L Vale
Mar 8, 2013·Orthopedics·Jeffrey Bruce KnoxAnthony I Riccio
Feb 24, 2015·BMJ Case Reports·Muna AlJallafLaila Hussein
Apr 24, 2018·Journal of Pediatric Orthopedics·Sean CaskeyTheresa Atkinson
Sep 10, 2013·The Open Orthopaedics Journal·O KarargyrisSg Pneumaticos
Oct 5, 2018·Asian Journal of Neurosurgery·Keyvan EghbalFariborz Ghaffarpasand

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