case_images: PMC9805642_01
case_images: 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).
case_images: SNI-13-593-g001.jpg
case_images: PMC9805642_01_SNI-13-593-g001.jpg
case_images: F1
case_images: The cervical computed tomography showed an acute flexion-distraction injury (Chance fracture) of T1 with kyphosis [Figure 1].
case_images: 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.
case_images: SNI-13-593-g002.jpg
case_images: PMC9805642_01_SNI-13-593-g002.jpg
case_images: F2
case_images: 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.