Karargyris O, Morassi Lg, Zafeiris C, Evangelopoulos Ds, Pneumaticos Sg
3 Department of Orthopaedic Surgery, University of Athens, KAT Hospital, Athens, Greece.
Open Orthop J. 2013 Aug 19;7:301-3. doi: 10.2174/1874325001307010301. eCollection 2013.
The Chance fracture represents a spinal lesion caused by a flexion-distraction injury pattern. We describe a rare case of a male driver admitted at the Emergencies of our Institution, level A Trauma center. The was involved in an automobile accident without wearing a seatbelt. Radiological findings of plain radiography and computed tomography (CT) demonstrated a horizontal fracture extending across the vertebral body to the posterior elements with loss of vertebral height at the anterior aspect of T12. Based on these findings, the diagnosis of a T12 Chance fracture was established. The patient was treated conservatively with a thoracolumbar orthosis, without any subsequent disabilities. Although Chance fractures are rare lesions, they should always be considered in spinal injuries, even in cases of motor-vehicle accidents where no seatbelt is used.
Chance骨折是一种由屈曲-牵张损伤模式导致的脊柱损伤。我们描述了一例罕见病例，一名男性司机被送至我们机构（A级创伤中心）的急诊科。他在未系安全带的情况下发生了一起汽车事故。X线平片和计算机断层扫描（CT）的影像学检查结果显示，T12椎体水平骨折并累及后部结构，T12椎体前缘高度丢失。基于这些检查结果，确诊为T12 Chance骨折。该患者采用胸腰椎矫形器进行保守治疗，未出现任何后遗症。尽管Chance骨折是罕见损伤，但在脊柱损伤中，即使是在未使用安全带的机动车事故中，也应始终考虑到这种骨折。
