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{
    "pk": 7448,
    "title": "Unique Mechanism of Chance Fracture in a Young Adult Male",
    "subtitle": null,
    "abstract": "Since the first description of the Chance fracture in 1948, there have been few case reports of unique mechanisms causing this classical flexion-extension injury to the spine in motor vehicle accidents, sports injury, and falls. To our knowledge, this injury has not been reported from a fall with the mechanistic forces acting laterally on the spine and with spinal support in place. We present a 21-year-old male who slid down a flight of stairs onto his side wearing a heavy mountaineering style backpack, subsequently sustaining a Chance fracture of his first lumbar vertebrae. [West J Emerg Med 2013;14(2):147-148.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "Chance fracture"
        },
        {
            "word": "Spine"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "Orthopedics"
        }
    ],
    "section": "Injury Outcomes",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/47g976c6",
    "frozenauthors": [
        {
            "first_name": "Aaron",
            "middle_name": "",
            "last_name": "Birch",
            "name_suffix": "",
            "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington",
            "department": "None"
        },
        {
            "first_name": "Ryan",
            "middle_name": "",
            "last_name": "Walsh",
            "name_suffix": "",
            "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington",
            "department": "None"
        },
        {
            "first_name": "Diane",
            "middle_name": "",
            "last_name": "Devita",
            "name_suffix": "",
            "institution": "Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington",
            "department": "None"
        }
    ],
    "date_submitted": "2012-05-15T00:15:08Z",
    "date_accepted": "2012-05-15T00:15:08Z",
    "date_published": "2013-01-24T21:33:41Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/7448/galley/4404/download/"
        }
    ]
}