@article{ref1,
title="Three siblings with chance fractures: the importance of 3-point restraints",
journal="Journal of pediatric orthopedics",
year="2009",
author="Gordon, Zachary L. and Gillespie, Robert J. and Ponsky, Todd A. and Barksdale, Edward M. Jr and Thompson, George H.",
volume="29",
number="8",
pages="856-859",
abstract="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. We present 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.<p /> <p>Language: en</p>",
language="en",
issn="0271-6798",
doi="10.1097/BPO.0b013e3181c119b2",
url="http://dx.doi.org/10.1097/BPO.0b013e3181c119b2"
}