The lumbar spine x-ray shows
anterior compression fracture of L1 & fracture of spinous process of T12 vertebra.
This is a variant of Chance fracture and is an unstable injury.
Chance fracture:
- is a flexion distraction injury related to lap seat belt use. It can also occur following fall from a height.
- is a horizontal fracture involving all the 3 columns of vertebra.
- tends to occur between T12 and L4.
- in addition to spinal cord injury, there is high incidence of gastrointestinal & retroperitoneal injuries.
Further reading https://www.orthobullets.com/spine/2023/chance-fracture-flexion-distraction-injury