• Ferhat Harman, Yahya Guvenc, Mumin Coskun, and Oguz Baran.
• Department of Neurosurgery, Marmara University Faculty of Medicine, Istanbul, Turkey; Department of Neurosurgery, Marmara University Institute of Neurological Sciences, Istanbul, Turkey. Electronic address: ferhatharman@hotmail.com.
• World Neurosurg. 2020 Oct 1; 142: 188-190.

BackgroundSeat belts are considered the reason for seat belt syndrome, which mainly occurs during rapid deceleration in motor vehicle accidents. Seat belt syndrome is characterized by contusion of the front torso, intrathoracic or intraabdominal organ injuries, and spinal thoracic or lumbar chance fractures.Case DescriptionThis case study presents a 21-year-old female who was injured by a lap-type seat belt and diagnosed with seat belt syndrome after an airplane landing accident. She underwent surgery for lumbar chance fracture and abdominal injury. We discussed the possible harmful effects of lap seat belts in passenger seats on airplanes.ConclusionsWhile an airplane is in a flying position, a lap seat belt functions to protect the passenger from any turbulence. However, during the landing or take-off phase, it may not be enough to fully protect the passenger, especially during sudden deceleration accidents, which cause seat belt injuries and head traumas. Therefore the unique design of a double functional passenger seat belt harness, along with a 3- or 4-point buckle protruding from the shoulder, can serve as a more favorable protective measure in limiting the severity of injury a passenger receives. After the plane has taken off, the diagonal seat belt can then be unlocked, leaving the lap seat belt to remain firmly in place and secured.Copyright © 2020 Elsevier Inc. All rights reserved.

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