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A mechanism of lateral flexion distraction injury of the spine

Authors
Journal
Injury
0020-1383
Publisher
Elsevier
Publication Date
Volume
36
Issue
1
Identifiers
DOI: 10.1016/j.injury.2004.04.003
Keywords
  • Lateral Flexion Distraction Injury
  • Thoracolumbar Fracture
Disciplines
  • Medicine

Abstract

Abstract 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.

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