Three Siblings With Chance Fractures: The Importance of 3-Point Restraints

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. This paper presents 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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  • Authors:
    • Gordon, Zachary L
    • Gillespie, Robert J
    • Ponsky, Todd A
    • Barksdale Jr, Edward M
    • Thompson, George H
  • Publication Date: 2009-12


  • English

Media Info

  • Media Type: Print
  • Features: Photos; References;
  • Pagination: pp 856-859
  • Serial:

Subject/Index Terms

Filing Info

  • Accession Number: 01148030
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Jan 6 2010 1:57PM