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Journal Article

Citation

Tubbs RS, Golden B, Doyle S, Grabb PA, Oakes WJ. Clin. Anat. 2006; 19(7): 665-668.

Affiliation

Department of Cell Biology, University of Alabama at Birmingham, Birmingham, Alabama 35233, USA. rstubbs@uab.edu

Copyright

(Copyright © 2006, John Wiley and Sons)

DOI

10.1002/ca.20211

PMID

16283658

Abstract

The authors report a child who was involved in an automobile accident. The patient was restrained by a rear seat lap belt. Radiological examination revealed an L4 Chance-type fracture and ligamentous disruption at the L4-L5 interval. During superficial dissection of the paraspinal muscles for a spinal fusion procedure, the cauda equina and the lower spinal cord (several centimeters) were visible, completely transected and herniated into the extraspinal space through a disrupted thoracolumbar fascia. The clinician should be aware of the potentially devastating results following a lap-belt injury in which a Chance fracture is produced.


Language: en

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