Teenager in a motor vehicle accident with back pain

CT of Chance fracture of L1 vertebral body
Coronal (above left), sagittal (above right) and axial (below) CT without contrast of the lumbar spine shows a flexion distraction fracture of the L1 vertebral body and its posterior elements and a compression fracture of the L4 vertebral body.

The diagnosis was a Chance fracture of the lumbar spine at the L1 vertebral body and a lumbar spine fracture of the L4 vertebral body.