Chance fractures in the pediatric population: A review

Tien V. Le, Ali A. Baaj, Armen Deukmedjian, Juan S. Uribe, Fernando Vale Diaz

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

Object. The pediatric Chance fracture (PCF) is an uncommon injury, but it has been increasingly reported. Knowledge is limited to few case reports and short series. To understand the various aspects of this injury, the authors reviewed the current literature. Methods. A literature search was conducted using the PubMed and Ovid online databases and relevant key words. All articles that were in English and provided information regarding PCF as a sole or part of the objective were retrieved. Results. Seventy-three articles were found to fulfill the inclusion criteria. Relevant information about PCF collected from these articles included: 1) mode of trauma, 2) associated injuries, 3) radiological classification, and 4) treatment. Conclusions. Chance fractures in children are potentially devastating injuries largely caused by motor vehicle collisions, and these fractures may be more common than previously thought. Concomitant intraabdominal injuries are common and should be suspected, particularly when a seat belt sign is observed. Blunt abdominal aortic injuries are rarely associated, but should be evaluated for and treated appropriately. Magnetic resonance imaging is best for defining ligamentous injury, which aids in defining the pattern of injury, facilitating appropriate treatment regimens.

Original languageEnglish (US)
Pages (from-to)189-197
Number of pages9
JournalJournal of Neurosurgery: Pediatrics
Volume8
Issue number2
DOIs
StatePublished - Aug 1 2011

Fingerprint

Pediatrics
Wounds and Injuries
Population
Seat Belts
Abdominal Injuries
Nonpenetrating Wounds
Motor Vehicles
PubMed
Magnetic Resonance Imaging
Databases
Therapeutics

Keywords

  • Chance fracture
  • Flexion distraction injury
  • Lap belt injury
  • Pediatric Chance fracture
  • Seat belt injury
  • Spine

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

Chance fractures in the pediatric population : A review. / Le, Tien V.; Baaj, Ali A.; Deukmedjian, Armen; Uribe, Juan S.; Vale Diaz, Fernando.

In: Journal of Neurosurgery: Pediatrics, Vol. 8, No. 2, 01.08.2011, p. 189-197.

Research output: Contribution to journalReview article

Le, Tien V. ; Baaj, Ali A. ; Deukmedjian, Armen ; Uribe, Juan S. ; Vale Diaz, Fernando. / Chance fractures in the pediatric population : A review. In: Journal of Neurosurgery: Pediatrics. 2011 ; Vol. 8, No. 2. pp. 189-197.
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