TY  - JOUR
PY  - 2009//
TI  - Three siblings with chance fractures: the importance of 3-point restraints
JO  - Journal of pediatric orthopedics
A1  - Gordon, Zachary L.
A1  - Gillespie, Robert J.
A1  - Ponsky, Todd A.
A1  - Barksdale, Edward M. Jr
A1  - Thompson, George H.
SP  - 856
EP  - 859
VL  - 29
IS  - 8
N2  - 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>
LA  - en
SN  - 0271-6798
UR  - http://dx.doi.org/10.1097/BPO.0b013e3181c119b2
ID  - ref1
ER  -