TraumaThree Siblings With Chance Fractures: The Importance of 3-Point RestraintsGordon, Zachary L. MD; Gillespie, Robert J. MD; Ponsky, Todd A. MD; Barksdale, Edward M. Jr MD; Thompson, George H. MDAuthor Information Division of Pediatric Orthopaedic Surgery and Pediatric General Surgery, Rainbow Babies and Children's Hospital, University Hospitals Case Medical Center, Cleveland, OH None of the authors or their divisions received anything of value for this study. Reprints: George H. Thompson, MD, Pediatric Orthopaedic Surgery, Rainbow Babies and Children's Hospital, Division of Pediatric Orthopaedic Surgery, 11100 Euclid Avenue, Cleveland, OH 44106. E-mail: email@example.com. Journal of Pediatric Orthopaedics: December 2009 - Volume 29 - Issue 8 - p 856-859 doi: 10.1097/BPO.0b013e3181c119b2 Buy Metrics Abstract 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. © 2009 Lippincott Williams & Wilkins, Inc.