FIGURE 111.57 A: Anteroposterior radiograph demonstrating a Chance fracture at L3 B: Lateral radiograph of a Chance fracture at L3 Notice the separation at both the posterior and middle columns There is a break in the continuity of the articular pillar and at the anterior portion of the spinal canal C: Close-up of (B ) (Reprinted with permission from Anrig CA, Plaugher G Pediatric Chiropractic 2nd ed Philadelphia, PA: Lippincott Williams & Wilkins; 2012.)