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J Neurosci Rural Pract. 2019 Jan-Mar;10(1):151-153. doi: 10.4103/jnrp.jnrp_164_18.

Chance Fracture in an Unbelted Rear Seat Passenger.

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Department of Neurological Surgery, University College Hospital, Ibadan, Nigeria.
Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.


Chance fracture occurs from flexion-distraction injury in motor vehicle road crash usually when the patient is on a seat belt. It is often associated with intra-abdominal injuries. We managed a 22-year old female unbelted rear seat passenger of a bus which was involved in a lone accident. We highlighted the possible mechanism of chance fracture in an unbelted passenger and satisfactory spinal stability on conservative care with neither internal nor external fixation.


Chance fracture; conservative care; flexion-distraction injury; unbelted passenger

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