PMC9805642_01
Sagittal cervical spine computed tomography scans demonstrating a T1 Chance fracture (panel (a), left of midline; panel (b), midline, panel (c), and right of midline).
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F1
The cervical computed tomography showed an acute flexion-distraction injury (Chance fracture) of T1 with kyphosis [Figure 1].
T2 sagittal cervical spine MRI (panel a) and T2 axial cervical spine MRI at the T1 vertebral level (panel b) demonstrating a large dorsal epidural hematoma resulting in mass effect, severe spinal canal narrowing, and subsequent cord compression.
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F2
SEH at the C7-T1 level (i.e., level of the Chance fracture) that markedly compressed the cord [Figure 2]. She emergently underwent a decompressive laminectomy for evacuation of the spontaneous spinal epidural hematoma (SSEH), followed by a C5-T4 posterolateral fusion utilizing Neuronavigation to place C5-C7 lateral mass screws and T2- T4 pedicle screws.