@article{ref1,
title="Chance fracture missed by convencional CT: Presentation of a clinical course",
journal="Archivos Argentinos de Pediatria",
year="2011",
author="Pérez Suárez, Esther and Carceller, Fernando and García Salido, Alberto and Serrano, Ana and Casado, Juan",
volume="109",
number="1",
pages="13-16",
abstract="INTRODUCTION: Bending-disruption fractures of the vertebral body are called Chance fracture. In some cases these fractures may not be noticeable with a CT scan. CLINICAL CASE: A 9 years-old boy suffered a frontal collision while traveling in the back seat of a car. The child was secured by the safetybelt, without a child car seat or elevator adapted to his height. He had abdominal skin lesions in the physical exploration compatible with a belt mark. Conventional thoraco- abdominal CT scan did not show any vertebral fracture. As the clinical suspicion persisted, lateral plain radiography of the lumbar column was performed showing a Chance fracture in L2, confirmed by MRI. <br><br>CONCLUSION: Chance fracture is typically seen in children under 12 years less than 135 cm height and with injuries associated with the belt after a traffic accident. This type of fractures may go unnoticed in a conventional CT scan so clinical suspicion must lead us to further work-up. The MRI is the gold standard for the diagnosis. This case remarks the importance of the use of homologated elevated seat devices in older children.<p /><p>Language: es</p>",
language="es",
issn="0004-0487",
doi="10.1590/S0325-00752011000100018",
url="http://dx.doi.org/10.1590/S0325-00752011000100018"
}