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- horizontal splitting of vertebral body
- little compression
- associated intra abdominal and neurological injuries
mechanism
- anterior hyperflexion over an object (seatbelt) that acts as a fulcrum
- posterior ligaments intact
- if any ligament injury is present, epidural fat will be dirty
- soft tissue chance injury: posterior ligament injury without bony injury
radiograph
- transverse/horizontal fracture of spinous process with or without pedicles
- involves L1-5
- disruption of intervertebral disc and ligaments without associated fracture
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