A mechanism of lateral flexion distraction injury of the spine.
Flexion distraction fractures or Chance fractures are well described in the literature. We present an unusual pattern of injury of a pure lateral flexion distraction fracture of the T12 vertebra with no posterior element disruption following a blow to the right torso to a passenger in a road traffic accident. The diagnosis was made intra-operatively as the potential for this injury pattern following the described mechanism was not initially recognised. We suggest that this type of injury be suspected in any patient where a fulcrum has acted at any point around the torso.
Oliver
A
A
Queen Elizabeth National Spinal Injuries Unit, South Glasgow University Hospital NHS Trust, Southern General Hospital, 1345 Govan Road, Glasgow G51 4TF, UK. annieoli@yahoo.com
Allan
D B
DB
D000063:Accidents, Traffic; D005592:Fracture Fixation / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000209:etiology; D011859:Radiography; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D016896:Treatment Outcome