Twelve cases of Chance-type flexion-distraction injuries in children less than 16 years old were reviewed.

Patients were evaluated in terms of initial treatment regimen, subsequent modifications, and ultimate outcome.

Follow-up ranged from 6 months to 9 years.

Seven patients with a significant ligamentous component to their injury were initially treated, for various reasons, in a brace.

All patients responding to brace treatment had an initial kyphotic deformity of less than 20 degrees and a maximum measured deformity of less than 25 degrees.