In a patient with a Chance fracture, you would also likely suspect injury to the:

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Injury to the pancreas may also occur with a Chance fracture. Such an injury was much more common before the shoulder harness was added to automobile seat belts. Another name for this injury was "seat belt fracture." A front-end collision would result in sudden forward flexion with the pivot point around the seat belt. The flexion injured the spine, and the compression of the seat belt injured the pancreas.

In a Patient with a Chance Fracture, You Would Also